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
- Meet billing requirements for Medicare Part B.
- Easy-to-read forms for faster claims processing.
- Comply with CMS standards and requirements for paper, layout and ink.
- Printed in scannable, dropout OCR red ink.
- Include all 02/12 NUCC revisions, replacing the previous 08/05 version.
Product Details
| SKU: | TFPCMS12LC1 |
| Manufacturer: | TFP DATA SYSTEMS |
| Mfr. Part Number: | CMS12LC1 |
| Brand Name: | ComplyRight ® |
| Assembly Required: | No |
| Alternate Part Numbers: | TFPCMS12LC1, TFP-CMS12LC1, CMS12LC1, 00813859024444 (GTIN), 00813859024444 (GTIN), 813859024444 (UPC), 00813859024444 (GTIN), 813859024444 (UPC), 00813859024444 (GTIN), 813859024444 (UPC) |
| Country of Origin: | US (UNITED STATES) |
| TAA Compliant: | Yes |
| UNSPSC Code: | 0014111806 |
| Unit of Measure: | CT (Carton of 1,000) |
| UPS Shippable: | Yes |
| Air Shippable: | Yes |
| Item Dimensions: | 11.41 in. D x 9.10 in. W x 4.89 in. H |
| Shipped Dimensions: | 11.41 in. D x 9.10 in.W x 4.89 in. H |
| Weight: | 11.0000 lb. |
| Expiration Date: | No |
Environmental Properties
| Energy Star: | No |
| Green Indicator: | No |
| Recycled: | No |