Cms-1500 Health Insurance Claim Form, One-part (no Copies), 8.5 X 11, 1,000 Forms Total

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.

Color Family	White
Copy Types	One-Part (No Copies)
Dated/Undated	Undated
Form Quantity (Total)	1
000	000
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 Recycled %	0%
Principal Heading(s)	1500 Health Insurance Claim Form
Print and Ruling Color(s)	OCR Red
Product Biodegradability in Days	0
Recycled Content %	0%
Sheet Size	8.5 x 11
Ship Class Code	M
Total Recycled %	0%