ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
US$17.95
Price when purchased online
Free shipping
Free 30-day returns
Sold and shipped by www.red-i-laser.com
We aim to show you accurate product information. Manufacturers, suppliers and others provide what you see here.
US$17.95
Price when purchased online
Free shipping
Free 30-day returns
Sold and shipped by www.red-i-laser.com
Free 30-day returns Details
Product details
| Management number | 202076119 | Release Date | 2025/09/30 | List Price | US$17.95 | Model Number | 202076119 | ||
|---|---|---|---|---|---|---|---|---|---|
| Category | |||||||||
- 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.
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. Printed in scannable, OCR "dropout" red ink.
Correction of product information
If you notice any omissions or errors in the product information on this page, please use the correction request form below.
Correction Request Form