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Adams CMS Health Insurance Claim Form, One-Part, 8.5 x 11, 100 Forms (CMS1500L1V)
$13.66 $32.99
Adams Two-Part Invoice Book, Two-Part Carbonless, 5.56 x 8.44, 1/Page, 50 Forms (DC5840)
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Adams Carbonless Sales Order Book, Three-Part Carbonless, 3.25 x 7.13, 50 Forms (TC3705)
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Adams Two-Part Sales Book, Two-Part Carbon, 7.94 x 5.56, 1/Page, 50 Forms (DC5805)
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Adams TOPS Money/Rent Receipt Book, 7.13 x 2.75, Two-Part Carbon, 4/Page, 200 Forms (SC1182)
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Adams TOPS 3-Part Hardbound Receipt Book, Three-Part Carbonless, 7 x 2.75, 4/Page, 200 Forms (TCH1185)
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Adams TOPS Sales/Order Book, Three-Part Carbonless, 7.95 x 5.56, 1/Page, 50 Forms (TC5805)
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Adams Contractor Proposal Form, Three-Part Carbonless, 8.5 x 11.44, 1/Page, 50 Forms (NC3819)
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Adams Carbonless Purchase Order Statement (DC5831)
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Adams CMS Health Insurance Claim Form, One-Part, 8.5 x 11, 100 Forms (486075)
- CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
- OCR red ink for scanning.
$14.72 $25.13
OUT OF STOCK
Product#: 486075
EXPIDITED SHIPPING - Estimated Delivery Mon 4/29
Adams 3-Part Carbonless Purchase Order Forms (TC5831)
$7.91 $12.40
Adams CMS Health Insurance Claim Form, One-Part, 8.5 x 11, 100 Forms (CMS1500L1V)
$13.66 $32.99
Adams Contractor Proposal Form, Three-Part Carbonless, 8.5 x 11.44, 1/Page, 50 Forms (NC3819)
$16.65 $27.34
Adams TOPS 3-Part Hardbound Receipt Book, Three-Part Carbonless, 7 x 2.75, 4/Page, 200 Forms (TCH1185)
$27.17 $44.04
Adams TOPS Money/Rent Receipt Book, 7.13 x 2.75, Two-Part Carbon, 4/Page, 200 Forms (SC1182)
$9.36 $19.71
Adams Write 'n Stick Phone Message Pad, Two-Part Carbonless, 2.75 x 4.75, 4/Page, 200 Forms (SC1153WS)
$7.67 $14.54
Adams 2020 Digital Tax Bundle, 1099-MISCs; 1099-NECs; W-2s, Print and Mail Service Included (STAX2020D)
$19.19 $27.68
Adams 3-Part Carbonless Purchase Order Book (TC8131)
$19.66 $21.73
Adams CMS Health Insurance Claim Form, Three-Part Carbonless, 9.5 x 11, 1/Page, Continuous, 100 Forms (CMS1500CV)
$13.57 $36.70
Adams TOPS Two-Part Hardbound Receipt Book, Two-Part Carbon, 7 x 2.75, 4/Page, 300 Forms (DCH1185)
$25.68 $42.97
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. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 100; Sheet Size: 8.5 x 11.
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
OCR red ink for scanning.
Product Specification
| Manufacturer | Adams |
|---|---|
| Categories | Adams Office SuppliesAdams Forms, Recordkeeping & Reference MaterialsAdams Forms |
| Manufacturer Stock No. | CMS1500L1V |
| MPN | ABF486075 |
| Model# | 486075 |
| UPC Code | 087958150018 |
| UNSPSC Code | 0 |
| 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 |
| Sheet Size | 8.5 x 11 |
| Total Recycled Content Percent | 0% |
| Assembly Required | No assembly is required |
| Contains Recycled Materials | N |
| Green Product | N |
| Unit of Measure | PK |
| Item Weight | 1.04 |
| Ships via UPS | Y |
| Carton Pack Quantity | 5 PK |
| Brand | Adams |
| Country of Origin | US |
| UNSPSC Number | 14111806 |
