{"product_id":"complyright-cms12lc1-cms-1500-health-insurance-claim-form-one-part-no-copies-8-5-x-11-1-000-forms-total-tfpcms12lc1","title":"ComplyRight® CMS12LC1 CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total","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 \u003cp\u003e\u003c\/p\u003e\u003cul\u003e\n\u003cli\u003eMeet billing requirements for Medicare Part B.\u003c\/li\u003e\n\u003cli\u003eEasy-to-read forms for faster claims processing.\u003c\/li\u003e\n\u003cli\u003eComply with CMS standards and requirements for paper, layout and ink.\u003c\/li\u003e\n\u003cli\u003ePrinted in scannable, dropout OCR red ink.\u003c\/li\u003e\n\u003cli\u003eInclude all 02\/12 NUCC revisions, replacing the previous 08\/05 version.\u003c\/li\u003e\n\u003c\/ul\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003eProduct Details\u003c\/h3\u003e\u003ctable\u003e\n\u003ctr\u003e\n\u003ctd\u003eSKU:\u003c\/td\u003e\n\u003ctd\u003eTFPCMS12LC1\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eManufacturer:\u003c\/td\u003e\n\u003ctd\u003eTFP DATA SYSTEMS\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMfr. Part Number:\u003c\/td\u003e\n\u003ctd\u003eCMS12LC1\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eBrand Name:\u003c\/td\u003e\n\u003ctd\u003e\u003ca href=\"https:\/\/ab1express.com\/collections\/complyright\"\u003eComplyRight ®\u003c\/a\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAssembly Required:\u003c\/td\u003e\n\u003ctd\u003eNo\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlternate Part Numbers:\u003c\/td\u003e\n\u003ctd\u003eTFPCMS12LC1, TFP-CMS12LC1, CMS12LC1, 00813859024444 (GTIN), 00813859024444 (GTIN), 813859024444 (UPC), 00813859024444 (GTIN), 813859024444 (UPC), 00813859024444 (GTIN), 813859024444 (UPC)\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCountry of Origin:\u003c\/td\u003e\n\u003ctd\u003eUS (UNITED STATES)\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTAA Compliant:\u003c\/td\u003e\n\u003ctd\u003eYes\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eUNSPSC Code:\u003c\/td\u003e\n\u003ctd\u003e0014111806\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eUnit of Measure:\u003c\/td\u003e\n\u003ctd\u003eCT (Carton of 1,000)\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eUPS Shippable:\u003c\/td\u003e\n\u003ctd\u003eYes\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAir Shippable:\u003c\/td\u003e\n\u003ctd\u003eYes\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eItem Dimensions:\u003c\/td\u003e\n\u003ctd\u003e11.41 in. D x 9.10 in. W x 4.89 in. H\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eShipped Dimensions:\u003c\/td\u003e\n\u003ctd\u003e11.41 in. D x 9.10 in.W  x 4.89 in. H\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWeight:\u003c\/td\u003e\n\u003ctd\u003e11.0000 lb.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eExpiration Date:\u003c\/td\u003e\n\u003ctd\u003eNo\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/table\u003e\u003ch3\u003eEnvironmental Properties\u003c\/h3\u003e\u003ctable\u003e\n\u003ctr\u003e\n\u003ctd\u003eEnergy Star:\u003c\/td\u003e\n\u003ctd\u003eNo\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eGreen Indicator:\u003c\/td\u003e\n\u003ctd\u003eNo\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eRecycled:\u003c\/td\u003e\n\u003ctd\u003eNo\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/table\u003e","brand":"TFP DATA SYSTEMS","offers":[{"title":"CT (Carton of 1,000)","offer_id":48104142143717,"sku":"TFPCMS12LC1","price":37.25,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0659\/4828\/7205\/files\/686210.jpg?v=1771826141","url":"https:\/\/ab1supply.com\/products\/complyright-cms12lc1-cms-1500-health-insurance-claim-form-one-part-no-copies-8-5-x-11-1-000-forms-total-tfpcms12lc1","provider":"AB1Supply","version":"1.0","type":"link"}