ComplyRight CMS-1500 Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 250 Forms Total (CMS12LC250)

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.

Features

• Meet billing requirements for Medicare Part B.
• Easy-to-read forms for faster claims processing.
• Comply with CMS standards and requirements for paper, layout and ink.
• Printed in scannable, dropout OCR red ink.
• Include all 02/12 NUCC revisions, replacing the previous 08/05 version.