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Adams CMS Health Insurance Claim Form, Three-Part Carbonless, 9.5 x 11, 1/Page, Continuous, 100 Forms (CMS1500CV)

  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
  • OCR red ink for scanning.
More Details
$13.57 $36.70
OUT OF STOCK

Product#: CMS1500CV

EXPIDITED SHIPPING - Estimated Delivery Fri 4/26

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: 9.5 x 11; Forms Per Page: 1; Form Quantity: 100; Principal Heading(s): 1500 Health Insurance Claim Form.

  • 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. CMS1500CV
MPN ABFCMS1500CV
Model# CMS1500CV
UPC Code 087958150001
UNSPSC Code 0
Copy Types Three-Part Carbonless
Form Quantity 100
Form Size 9.5 x 11
Forms Per Page 1
Global Product Type Forms-Insurance
Layout One Form per Sheet
Paper Color(s) Blue/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 Dot Matrix
Punching Dot Matrix Pin Feed Holes
Total Recycled Content Percent 0%
Assembly Required No assembly is required
Contains Recycled Materials N
Green Product N
Unit of Measure PK
Item Weight 2.077
Ships via UPS Y
Carton Pack Quantity 4 PK
Brand Adams
Country of Origin US
UNSPSC Number 14111810

Adams CMS Health Insurance Claim Form, Three-Part Carbonless, 9.5 x 11, 1/Page, Continuous, 100 Forms (CMS1500CV) Reviews

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