CMS-1500 Laser Health Insurance Forms (08/05 Version); 1000/Box

Accommodates reporting of the National Provider Identifier (NPI) number Approved by the National Uniform Claim Committee (NUCC) Better aligned with the electronic HIPAA ASC X12N 837 Non-institutional Transaction Standard Printed on 20-lb. bond paper Especially for use with laser printers Forms not available personalized 1,000 per box Certified Chain of Custody; Promoting Sustainable Forest Management Size: 8-1/2x11" To view an enlarged sample of this form Click Here

Product Information

Form Type :

Insurance

Format :

Health Insurance Claim Form

Sheet Size :

8-1/2" x 11"

Form Size :

8-1/2" x 11"

Media Quantity :

1000

Binding Type :

Loose

Paper Color :

White

Number of Parts :

1

Carbonless :

No

# Up Per Sheet/Page :

1

NCR Paper :

No

Numbered :

No

Holes Punched :

None

Personalization :

No

Security Features :

No

Environmental Information

Certifications & Standards :

SFI Sustainable Forestry Iniative

Miscellaneous

Weight :

11.00 lbs. per Box

Brand :

TFP

Country of Origin :

USA

Weight

Weight :

11.00 lbs. per Box