Description: About Us Payment Info Shipping Info Customer Support Feedback CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms --> Product Details--> Brand: TFP Data Systems UPC: 0758399422254 Mfr Part #: CMS12LC250 Item SKU: 0758399422254 --> 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; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.Global Product Type: Insurance FormsForm Type Details: CMS-1500Dated/Undated: UndatedForms Per Page: 1Form Size: 8.5 x 11Sheet Size: 8.5 x 11Format Indicator: UnboundForm Quantity (Total): 250Copy Types: One-Part (No Copies)Principal Heading(s): 1500 Health Insurance Claim FormPaper Color(s): WhiteColor Family: WhitePrint and Ruling Color(s): OCR RedProduct Biodegradability in Days: 0Pre-Consumer Recycled Content Percent: 0%Post-Consumer Recycled Content Percent: 0%Total Recycled Content Percent: 0% Store Policies Welcome to the NothingButSavings eBay Store! To make your purchase as easy as possible, NothingButSavings requires payment via PayPal at the time of purchase. We have outlined all of our store policies below, however if you have any questions, please do not hesitate to contact us at any time. Check-Out Now! Click the Pay Now button at the top of this listing to immediately proceed with our checkout and payment process. Please note that the Pay Now button is ONLY available after winning an auction or completing a Buy It Now purchase. Sales Tax Sales tax is applied for shipments to addresses in applicable States where we are required by law to collect and remit sales tax. Purchases are not tax-exempt merely because we are not required to collect a State's Sales Tax. Your State may require you to pay use tax on your purchase. For more information, please visit your State's Department of Revenue or Sales and Use Tax website. Shipping For security purposes, NothingButSavings will only ship to the address provided by eBay at the time of the order. If for any reason this address is incorrect, please contact us as soon as possible to see if other arrangements can be made. NothingButSavings accepts no responsibility for incorrect delivery information contained in your eBay account at the time of purchase. Customer Service If you need to reach us at any time please click here. Order Status Customer Service (or by phone: 800.755.4619) Technical Support Product Information -->
Price: 37.78 USD
Location: LaGrange, OH
End Time: 2024-08-19T19:49:10.000Z
Shipping Cost: 0 USD
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Item Specifics
Return shipping will be paid by: Seller
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: CMS12LC250
