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Adams® CMS Health Insurance Claim Form, 9-1/2 x 11, Three-Part, 100 Continuous Forms
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.
| $27.71 | Retail $27.99 |
Manufacturer:
Cardinal Brands Inc.
Item:
CMS1500CV
UPC Code:
087958150001
Our Part #
ABFCMS1500CV
Condition
New
Extended Warrenty
| 1 Year Extended Warrenty | $3.00 |
$27.71PK
$27.99
$27.99
Availability
In Stock
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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
Three-Part Carbonless
Form Quantity
100
Form Size
9 1/2 x 11
Forms Per Page
1
Layout
One Form per Sheet
Package_Includes
Includes 100 forms.
Paper Color(s)
White
Paper Color(s)
Blue
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
Dot Matrix
Punching
Dot Matrix Pin Feed Holes
Total Recycled Content Percent
0%
Global Product Type
Forms-Insurance