ComplyRight CMS-1500 Health Insurance Claim Forms One-Part 8.5 x 11 1000/Carton

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.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.