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

    Product Code: ABFCMS1500CV
    AdamsĀ®
    Currently out of Stock

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

    $36.70

Product Details

Product Information

Code ABFCMS1500CV
Manufacturer CARDINAL BRANDS INC.
Manufacturer Part Number 43671
Global Product Type Insurance Forms
Form Type Details CMS-1500
Dated/Undated Undated
Forms Per Page 1
Format Indicator Unbound
Copy Types Three-Part Carbonless
Color Family White
Form Size 9.5 x 11
Form Quantity (Total) 100
Principal Heading(s) 1500 Health Insurance Claim Form
Paper Color(s) White
Copy Paper Color(s) White
Printer Compatibility Dot Matrix
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%
UPC 087958150001
UNSPSC 14111810

Additional Info

Package Small Package; Eligible for UPS Shipping

Shipping Weight & Item Dimensions ( Carton )

Weight 9 lbs.
Height 4.067 in
Length 11.4 in
Width 10 in

Additional Info

Country of Origin United States of America (the)

Description

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

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