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.
Specifications
| Color Family |
White |
| Copy Types |
One-Part (No Copies) |
| Dated/Undated |
Undated |
| Form Quantity (Total) |
100 |
| Form Size |
8.5 x 11 |
| Form Type Details |
CMS-1500 |
| Format Indicator |
Unbound |
| Forms Per Page |
1 |
| Global Product Type |
Insurance Forms |
| Paper Color(s) |
White |
| Post-Consumer Recycled Content Percent |
0% |
| Pre-Consumer Recycled Content Percent |
0% |
| Principal Heading(s) |
1500 Health Insurance Claim Form |
| Print and Ruling Color(s) |
OCR Red |
| Product Biodegradability in Days |
0 |
| Sheet Size |
8.5 x 11 |
| Total Recycled Content Percent |
0% |
