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.
| Brand | TFP DATA SYSTEMS |
|---|---|
| Form Type Details | CMS-1500 |
| Global Product Type | Insurance Forms |
| Dated/Undated | Undated |
| Forms Per Page | 1 |
| Form Size | 8.5 x 11 |
| Sheet Size | 8.5 x 11 |
| Format Indicator | Unbound |
| Form Quantity (Total) | 100 |
| Copy Types | One-Part (No Copies) |
| Principal Heading(s) | 1500 Health Insurance Claim Form |
| Paper Color(s) | White |
| Color Family | White |
| Print and Ruling Color(s) | OCR Red |
| Pre-Consumer Recycled Content Percent | 0% |
| Post-Consumer Recycled Content Percent | 0% |
| Total Recycled Content Percent | 0% |
