CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 250 Forms

SKU: TFPCMS12LC250

Manufacturer part number: CMS12LC250

GTIN: 0758399422254

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 Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 250; Sheet Size: 8.5 x 11.

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Products specifications

Attribute name	Attribute value
Form Quantity	250
Printer Compatibility	Typewriter; Handwrite Only
Global Product Type	Forms-Insurance
Pre-Consumer Recycled Content Percent	0%
Post-Consumer Recycled Content Percent	0%
Total Recycled Content Percent	0%
Paper Color(s)	White
Form Size	8.5 x 11
Forms Per Page	1
Sheet Size	8.5 x 11
Principal Heading(s)	1500 Health Insurance Claim Form
Layout	One Form per Sheet
Copy Types	Two-Part Carbonless
Print and Ruling Color(s)	OCR Red

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Products specifications

Attribute name	Attribute value
Form Quantity	250
Printer Compatibility	Typewriter; Handwrite Only
Global Product Type	Forms-Insurance
Pre-Consumer Recycled Content Percent	0%
Post-Consumer Recycled Content Percent	0%
Total Recycled Content Percent	0%
Paper Color(s)	White
Form Size	8.5 x 11
Forms Per Page	1
Sheet Size	8.5 x 11
Principal Heading(s)	1500 Health Insurance Claim Form
Layout	One Form per Sheet
Copy Types	Two-Part Carbonless
Print and Ruling Color(s)	OCR Red