{"product_id":"complyright®-cms-1500-health-insurance-claim-form-one-part-no-copies-8-5-x-11-100-forms-total","title":"Complyright® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 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 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.\u003cdiv id=\"product_symbols\"\u003e\n\u003c\/div\u003e\u003ctable\u003e\n\u003ctr\u003e\n\u003ctd\u003eGlobal Product Type\u003c\/td\u003e\n\u003ctd\u003eInsurance Forms\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eForm Type Details\u003c\/td\u003e\n\u003ctd\u003eCMS-1500\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDated\/Undated\u003c\/td\u003e\n\u003ctd\u003eUndated\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eForms Per Page\u003c\/td\u003e\n\u003ctd\u003e1\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eForm Size\u003c\/td\u003e\n\u003ctd\u003e8.5 x 11\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eSheet Size\u003c\/td\u003e\n\u003ctd\u003e8.5 x 11\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eFormat Indicator\u003c\/td\u003e\n\u003ctd\u003eUnbound\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eForm Quantity (Total)\u003c\/td\u003e\n\u003ctd\u003e100\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCopy Types\u003c\/td\u003e\n\u003ctd\u003eOne-Part (No Copies)\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePrincipal Heading(s)\u003c\/td\u003e\n\u003ctd\u003e1500 Health Insurance Claim Form\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePaper Color(s)\u003c\/td\u003e\n\u003ctd\u003eWhite\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eColor Family\u003c\/td\u003e\n\u003ctd\u003eWhite\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePrint and Ruling Color(s)\u003c\/td\u003e\n\u003ctd\u003eOCR Red\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eProduct Biodegradability in Days\u003c\/td\u003e\n\u003ctd\u003e0\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePre-Consumer Recycled Content Percent\u003c\/td\u003e\n\u003ctd\u003e0%\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePost-Consumer Recycled Content Percent\u003c\/td\u003e\n\u003ctd\u003e0%\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTotal Recycled Content Percent\u003c\/td\u003e\n\u003ctd\u003e0%\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/table\u003e","brand":"Complyright®","offers":[{"title":"Default Title","offer_id":40876597674039,"sku":"TFP650657","price":0.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0559\/2786\/5399\/files\/686212.jpg?v=1714444225","url":"https:\/\/www.wynndepot.com\/products\/complyright%c2%ae-cms-1500-health-insurance-claim-form-one-part-no-copies-8-5-x-11-100-forms-total","provider":"Wynn Depot","version":"1.0","type":"link"}