CMS-1500 claim forms 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.
- CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
- Top sensor bar for microfiche duplication, as required in some states
- OCR red ink for scanning
- Made in the USA
Attribute name | Attribute value |
---|---|
Length in Inches | 1 |
Number of Parts
The physical dimensions of the form.
|
8 1/2″ x 11″ |
Width in Inches
Items of a particular grouping, as merchandised and labeled by a manufacturer
|
Centers for Medicare and Medicaid Services |
Medical Form Pack Size
Actual manufacturer name for the color of the product.
|
Red and White |
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