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

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

Item # ABFCMS1500L1V

  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
  • OCR red ink for scanning.
Alternate #CMS1500L1V
Your Price:
$24.40/PK
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 Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
Specifications
  • Global Product Type Insurance Forms
  • Form Type Details CMS-1500
  • Dated/Undated Undated
  • Forms Per Page 1
  • Form Size 8.5 x 11
  • Sheet Size 8.5 x 11
  • Format Indicator Unbound
  • Form Quantity (Total) 100
  • Copy Types Two-Part Carbonless
  • Principal Heading(s) 1500 Health Insurance Claim Form
  • Paper Color(s) White
  • Color Family White
  • Print and Ruling Color(s) OCR Red
  • Product Biodegradability in Days 0
  • Pre-Consumer Recycled Content Percent 0%
  • Post-Consumer Recycled Content Percent 0%
  • Total Recycled Content Percent 0%
  • Country of Origin US
  • Carton Pack Quantity 5
  • Pack Quantity 100
  • UPC 087958150018
  • UNSPSC 14111806
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