Adams CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total

Part # ABFCMS1500L1V

UPC 087958150018

$27.35

$18.79

Less than 10 available

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Product Details

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.

Brand	Adams
Form Size	8.5 x 11
Forms Per Page	1
Form Quantity	100
Sheet Size	8.5 x 11
Principal Heading(s)	1500 Health Insurance Claim Form
Layout	One Form per Sheet
Copy Types	Two-Part Carbonless
Printer Compatibility	Typewriter; Handwrite Only
Paper Color(s)	White
Print and Ruling Color(s)	OCR Red
Pre-Consumer Recycled Content Percent	0%
Post-Consumer Recycled Content Percent	0%
Total Recycled Content Percent	0%
Country of Origin	US
Prop65	No
Unit of Measure	PK
Last Updated	2/4/2022