Product Description
TFP DATA SYSTEMS/COMPLYRIGHT CMS12LC250 - CMS-1500 HEALTH INSURANCE CLAIM FORMS, ONE-PART, 8.5 X 11, 250 FORMS - 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 SIZE: 8.5 X 11; FORMS PER PAGE: 1; FORM QUANTITY: 250; SHEET SIZE: 8.5 X 11. - EQUAL TO TFPCMS12LC250
MANUFACTURER:
TFP DATA SYSTEMS/COMPLYRIGHT
MANUFACTURER PART NUMBER:
CMS12LC250
UNIT OF MEASURE:
PK
QTY PER UNIT OF MEASURE:
250
COUNTRY OF ORIGIN:
UNITED STATES OF AMERICA
ORDER INCREMENT:
1
WEIGHT:
2.598
CONTRACTOR PART NUMBER:
2750372907
MAS CONTRACT NUMBER:
47QSEA20D0043
