< >

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

    Product Code: ABFCMS1500L1V
    AdamsĀ®
    14 Stock Available

    • 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:

    $32.99

Product Details

Product Information

Code ABFCMS1500L1V
Manufacturer CARDINAL BRANDS INC.
Manufacturer Part Number 288311
Global Product Type Insurance Forms
Form Type Details CMS-1500
Dated/Undated Undated
Forms Per Page 1
Format Indicator Unbound
Copy Types Two-Part Carbonless
Color Family White
Form Size 8.5 x 11
Sheet Size 8.5 x 11
Form Quantity (Total) 100
Principal Heading(s) 1500 Health Insurance Claim Form
Paper Color(s) 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%
UPC 087958150018
UNSPSC 14111806

Additional Info

Package Small Package; Eligible for UPS Shipping

Shipping Weight & Item Dimensions ( Carton )

Weight 6 lbs.
Height 2.885 in
Length 11.148 in
Width 8.613 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.

Alternative Products