Description: 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. Perrys Mart Our eBay Store About Us Contact Us CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Form 59.86 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. Product Details Color Height 4.886 Length 11.414 UPC 813859024444 Shipping Please refer to the delivery section located under shipping to see your estimated delivery schedule. Items may have an extended handling time. *Please note that international shipments take on average 6-30 business days to arrive. Ebay provides an estimated delivery time but some international transit times may be extended due to customs. Free shipping does not include custom fees, taxes and duties. Per eBay policies if a customer refuses a package because of customs fees, duties or taxes they void the right to a refund. If a refund is processed a restocking fee may be applied. It is the customers sole responsibility to pay these fees. FAQ'S This item is brand New Free shipping does not include custom fees, taxes and duties. Per eBay policies if a customer refuses a package because of customs fees, duties or taxes they void the right to a refund. If a refund is processed a restocking fee may be applied. It is the customers sole responsibility to pay these fees. Payment must be made through the secure eBay CHECKOUT system 30 Day Satisfaction Guarantee - All unopened items in which payment cleared within the last 30 days may be sent back to us for a full refund. Return shipping charges as well as original shipping and handling (S&H) charges will not be reimbursed. Refund will be issued by the original method of payment. No exchanges or store credits will be given. Refunds will only be issued for items returned © Copyright Perrysmart
Price: 58.25 USD
Location: Charlestown, Indiana
End Time: 2025-01-16T14:36:58.000Z
Shipping Cost: 0 USD
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Return shipping will be paid by: Buyer
All returns accepted: Returns Accepted
Item must be returned within: 30 Days
Refund will be given as: Money Back
Return policy details:
Brand: TFP DATA SYSTEMS
MPN: CMS12LC1
Model: CMS12LC1