CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
Meet billing requirements for Medicare Part B. Easy-to-read forms with crisp, clean text help ensure faster claims processing. Paper, layout and ink comply with CMS standards and requirements. Layout includes all 02/12 NUCC revisions and is a direct replacement for the previous 08/05 version. Printed in scannable, OCR “dropout” red ink. Form Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
Specifications
- Form Type Details
- CMS-1500
- Global Product Type
- Insurance Forms
- Dated/Undated
- Undated
- Forms Per Page
- 1
- Form Size
- 8.5 x 11
- Sheet Size
- 8.5 x 11
- Format Indicator
- Unbound
- Form Quantity (Total)
- 1,000
- Copy Types
- One-Part (No Copies)
- Principal Heading(s)
- 1500 Health Insurance Claim Form
- Paper Color(s)
- White
- Color Family
- White
- Print and Ruling Color(s)
- OCR Red
- Product Biodegradability in Days
- 0
- Pre-Consumer Recycled Content Percent
- 0
- Post-Consumer Recycled Content Percent
- 0
- Total Recycled Content Percent
- 0
- Manufacturer
- COSCO