![CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total [SKU: TFP650657]](https://cdn11.bigcommerce.com/s-er447ou6zb/images/stencil/600x600/products/91312/89127/686212__66603.1683127973.JPG?c=1 "CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total [SKU: TFP650657]")
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Product Overview
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. [QTY/UOM: 100 / 1PK] [PMS SKU: C003-10509] [Category: OFFICE SUPPLIES/GENERAL FORMS;Shop All]
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