Description

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%