ComplyRight CMS 1500 Healthcare Billing Form - 02/12, Laser, 1000-Count (CMS12LC1)
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Product details
| Management number | 211725996 | Release Date | 2026/04/04 | List Price | $13.39 | Model Number | 211725996 | ||
|---|---|---|---|---|---|---|---|---|---|
| Category | |||||||||
Satisfy recordkeeping requirements with cms-1500 Health insurance claim forms. Per Federal regulations, all healthcare providers must use the cms-1500 form for specific types of billing. The cms-1500 accommodates reporting of the National provider identifier, which must be used by all HIPAA-Covered entities. The form is printed with OCR "Dropout" Red ink on 20# paper, as per government regulations. Laser-cut sheet 1,000 per case printed with OCR "Dropout" Red ink on 201# paper, as per government regulations
- Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims
- Forms adhere to strict printing standards that govern the layout, paper and ink
- 20-Lb paper with OCR "dropout" red ink for greater scanning accuracy
- SFI certified - certified to meet SFI standards
| Size | 1,000 |
|---|---|
| Brand | ComplyRight |
| Color | Red & White |
| Ink Color | White |
| Item Weight | 10 pounds |
| Manufacturer | ComplyRight |
| Material Type | Paper |
| Number of Items | 1 |
| Item model number | CMS12LC1 |
| Number of Drawers | 2 |
| Product Dimensions | 11 x 8.5 x 5 inches |
| Manufacturer Part Number | CMS12LC1 |
| Is Discontinued By Manufacturer | No |
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