ComplyRight® CMS-1500 Health Insurance Claim Form

$0.00

  • Meets Medicare Part B billing requirements
  • Designed for fast, accurate claims processing
  • Complies with CMS standards and 02/12 NUCC revisions
  • Printed in OCR scannable dropout red ink
  • One-part form for clean submissions
  • Direct replacement for the 08/05 version
SKU: 8MRB1WMU Category:

Description

The ComplyRight® CMS-1500 Health Insurance Claim Form is the industry standard for submitting Medicare Part B claims and other health insurance claims efficiently. Designed with compliance in mind, this one-part form features crisp, scannable dropout red ink on high-quality paper, ensuring fast and accurate processing. The form includes all 02/12 NUCC revisions and replaces the 08/05 version, meeting the latest CMS requirements. Perfect for clinics, medical offices, and billing services looking for reliable, compliant medical billing forms. SEO keywords: Medicare billing form, health insurance claim, CMS 1500 form, medical billing supplies.

  • Form Type: CMS-1500 Health Insurance Claim
  • Format: One-Part (No Copies)
  • Dimensions: 8.5 x 11 inches
  • Total Forms: 1,000
  • Ink Color: OCR dropout red
  • Compliance: Includes 02/12 NUCC revisions, meets CMS requirements

Additional information

attributes

<ul><li>One-Part (No Copies)</li><li>8.5 x 11 inches</li><li>1, 000 Forms Total</li></ul>