• Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
  • Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
  • Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
ECO-FEATURE

ComplyRight 02/12 Version CMS-1500 Health Insurance Claims 2500/Pack (CMS12LC)

Item #: 125557Model #: CMS12LC