Adams CMS Health Insurance Claim Form, One-Part, 8.5 x 11, 100 Forms (CMS1500L1V)
- CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
- OCR red ink for scanning.
$13.66 $32.99
IN STOCK
Product#: CMS1500L1V
EXPIDITED SHIPPING - Estimated Delivery Mon 4/29
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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. 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 | ABFCMS1500L1V |
| Model# | CMS1500L1V |
| UPC Code | 087958150018 |
| UNSPSC Code | 0 |
| Copy Types | Two-Part Carbonless |
| 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 |
