Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning. Laser Printer Compatible. Form Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
Global Product Type | Insurance Forms |
Form Type Details | CMS-1500 |
Dated/Undated | Undated |
Forms Per Page | 1 |
Form Size | 8.5 x 11 |
Format Indicator | Unbound |
Form Quantity (Total) | 250 |
Copy Types | One-Part (No Copies) |
Principal Heading(s) | 1500 Health Insurance Claim Form |
Paper Color(s) | White |
Color Family | White |
Printer Compatibility | Laser |
Paper Stock | 20 lb Bond |
Print and Ruling Color(s) | OCR Red |
Product Biodegradability in Days | 0 |
Pre-Consumer Recycled Content Percent | 0% |
Post-Consumer Recycled Content Percent | 0% |
Total Recycled Content Percent | 0% |
Special Features | Laser Printer Compatible |
- Delivery is free for all orders over $100. Otherwise, delivery is $4.95-$19.99 depending on the item and shipping speed.
- Once your product has shipped, it usually takes 1 to 3 business days to arrive. Some items, shipping from warehouses outside your local area may take a few days longer.
- You can return your product up to 14 days after receiving your order. Please make sure that the products are not used. Returns are not accepted on pershable items