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CMS-1500 Forms w/ #10 Window Envelopes


Get both the forms and envelopes in a convenient set at a discounted price.


The CMS-1500 Forms Version 02/12 are fully updated with the latest form revisions and 100% compliant and printed to exact specifications for layout, paper, ink and for use with most laser printers. The #10 envelopes are specifically designed to perfectly fit CMS-1500 Forms, are self-seal for easier sealing, 100% compatible with UCCI requirements and tinted inside for confidentiality of components.


Save When You Bundle!

2,500 CMS-1500 Forms PLUS 2,500 CMS-1500 Catalog Envelopes

Purchased separately: $292.70

Bundled: Only $195

You Save $97.70

Sets also available with catalog envelopes - L0288


SKU: L0279
  • *
$195.00
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Form Specifications

  • Form measurements: 8.5 X 11
  • Uses soy-based black and OCR "dropout" red ink for greater scanning accuracy
  • Printed on Sustainable Foresty Initiative (SFI) paper
  • Features Anti-Rejection Protection™ - guaranteed acceptance by insurance carriers for rejetion-proof filing and quicker payment

Envelope Specifications

  • Catalog right window envelopes for CMS-1500 claim forms
  • Envelopes holds up to 50 unfolded forms
  • Envelope measurements: 9 X 12.5
  • Window measurements: 4.5 X 1.125
  • Window position: upper right
      

Note: self-seal envelopes are non-refundable


Form Specifications

  • Form measurements: 8.5 X 11
  • Uses soy-based black and OCR "dropout" red ink for greater scanning accuracy
  • Printed on Sustainable Foresty Initiative (SFI) paper
  • Features Anti-Rejection Protection™ - guaranteed acceptance by insurance carriers for rejetion-proof filing and quicker payment

Envelope Specifications

  • Catalog right window envelopes for CMS-1500 claim forms
  • Envelopes holds up to 50 unfolded forms
  • Envelope measurements: 9 X 12.5
  • Window measurements: 4.5 X 1.125
  • Window position: upper right
      

Note: self-seal envelopes are non-refundable

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