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Adams Business Forms CMS Health Insurance Claim Form, 9-1/2 x 11, Three-Part, 100 Continuous Forms

Item Number: ABFCMS1500C

Package Size: 1 Pack
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
List Price $23.46
You Pay: $18.67
Quantity
This Item is currently Out of Stock.
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Description Specifications Reviews
  • 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 (W x H): 9 1/2 in x 11 in; Number of Columns: N/A; Forms Per Page: 1; Number of Entry Lines: N/A.

Shipping Weight: 2.08 lbs.

Copy TypesCarbonless Triplicate
Form Quantity [Nom]100
Form Size (W x H)9 1/2 in x 11 in
Forms Per Page [Nom]1
Global Product TypeForms-Insurance Claim
LayoutOne Form per Sheet
Paper Color(s)Blue, White
Post-Consumer Recycled Content Percent [Nom]0 %
Pre-Consumer Recycled Content Percent [Nom]0 %
Principal Heading(s)1500 Health Insurance Claim Form
Print and Ruling Color(s)OCR Red
Printer CompatibilityDot Matrix
PunchingDot Matrix Holes
Total Recycled Content Percent [Nom]0 %
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