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Adams® CMS Health Insurance Claim Form, One-Part, 8.5 x 11, 100 Forms
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.
| $14.86 | Retail $25.13 |
By:
Adams®
Manufacturer:
Cardinal Brands Inc.
Product ID:
53590
Item:
CMS1500L1V
UPC Code:
087958150018
Our Part #
ABFCMS1500L1V
Condition
New
$14.86PK
$25.13
$25.13
Availability
Only 294 Left In Stock
Product description
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.
Specifications
Copy Types
One-Part
Form Quantity
100
Form Size
8.5 x 11
Forms Per Page
1
Global Product Type
Forms-Insurance
Layout
One Form per Sheet
Paper Color(s)
White
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Principal Heading(s)
1500 Health Insurance Claim Form
Print and Ruling Color(s)
OCR Red
Printer Compatibility
Typewriter/Handwrite Only
Product_Description
FORMLSRHLTHINSRNCEFRM
Sheet Size
8.5 x 11
Total Recycled Content Percent
0%