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Adams®

CMS Health Insurance Claim Form, Three-Part Carbonless, 9.5 x 11, 100 Forms Total

  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
  • OCR red ink for scanning.

Item: ABFCMS1500CV
Manufacturer: Adams®View similar

$29.36 / PK
 
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Decription
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.
Accessories
LX-350 Dot Matrix Printer, 9 Pins, Narrow Carriage
Epson®
EPSC11CC24001
Login For Price
LX-350 Dot Matrix Printer, 9 Pins, Narrow Carriage
Epson®
EPSC11CC24001
Login For Price
General Information
Product Biodegradability In Days0
Global Product TypeInsurance Forms
Total Recycled Content Percent0%
Principal Heading(S)1500 Health Insurance Claim Form
Print And Ruling Color(S)OCR Red
Copy Paper Color(S)White
Format IndicatorUnbound
Form Type DetailsCMS-1500
Paper Color(S)White
Printer CompatibilityDot Matrix
Pre-Consumer Recycled Content Percent0%
Form Size9.5 x 11
Form Quantity (Total)100
Post-Consumer Recycled Content Percent0%
Copy TypesThree-Part Carbonless
Forms Per Page1
Dated/UndatedUndated
Color FamilyWhite

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