ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total (TFPCMS12LC250)

ComplyRight®

ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total (TFPCMS12LC250)

SKU: 51296

SUPPLIER SKU: TFPCMS12LC250

$20.06 $43.53 (Save 54%)

Ships in 1-2 business days

ComplyRight® CMS-1500 Health Insurance Claim Form
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
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): 250
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
Product Biodegradability in Days: 0
Pre-Consumer Recycled Content Percent: 0%
Post-Consumer Recycled Content Percent: 0%
Total Recycled Content Percent: 0%

Returns are available due to customer error (such as ordering the wrong product), only if the product is in new, unopened, and unused condition within 30 days of the invoice date.  There will be a 20% restocking fee and the customer will be responsible for the shipping costs to return the product.  

Damaged goods or incorrect product shipments must be reported within 5 business days of receipt. Please save any shipping cartons, boxes and the damaged product, and use the returns process within the return window time frame. All products must be returned in the original packaging, and we may require pictures of the damaged items in order to initiate the return. GoodEarth will ship a replacement for no additional charge.

If the guidelines for returns are not met, GoodEarth will not process the refund.

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