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

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

171 In Stock
Item Code: ABFCMS1500L1V
Category Forms
Manufacturer CARDINAL BRANDS INC.
Freight Item - Delivery Charge Applies
Free Shipping on orders over $75

Free Shipping on most orders over $75,

(Excl. freight Items where indicated). See shipping policy for details

Estimated Delivery: 1 to 3 Business Days.

Specifications

Made In

US

UNSPSC Code

14111806

Weight

1.04lb

Height

0.47in

Width

8.49in

Length

11in

Brand

Adams

Category

Forms

Color Family

White

Copy Types

Two-Part Carbonless

Dated/undated

Undated

Form Quantity (Total)

100

Form Size

8.5 x 11

Form Type Details

CMS-1500

Format Indicator

Unbound

Forms Per Page

1

Global Product Type

Insurance Forms

Paper Color(s)

White

Post-Consumer Recycled Content Percent

0%

Pre-Consumer Recycled Content Percent

0%

Principal Heading(s)

1500 Health Insurance Claim Form

Print and Ruling Color(s)

OCR Red

Sheet Size

8.5 x 11

Total Recycled Content Percent

0%

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.
Choose your size or colour to add to basket, prices are from.
$15.25 / PK
/
LIST PRICE $32.99
54%
- +
Compare

Need bulk quantities for this item?

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

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

171 In Stock
Item Code: ABFCMS1500L1V
Category Forms
Manufacturer CARDINAL BRANDS INC.
Choose your size or colour to add to basket, prices are from.
$15.25 / PK
/
LIST PRICE $32.99
54%
- +
Compare

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.
Freight Item - Delivery Charge Applies
Free Shipping on orders over $75

Free Shipping on most orders over $75,

(Excl. freight Items where indicated). See shipping policy for details

Estimated Delivery: 1 to 3 Business Days.

Need bulk quantities for this item?

Specifications

Made In

US

UNSPSC Code

14111806

Weight

1.04lb

Height

0.47in

Width

8.49in

Length

11in

Brand

Adams

Category

Forms

Color Family

White

Copy Types

Two-Part Carbonless

Dated/undated

Undated

Form Quantity (Total)

100

Form Size

8.5 x 11

Form Type Details

CMS-1500

Format Indicator

Unbound

Forms Per Page

1

Global Product Type

Insurance Forms

Paper Color(s)

White

Post-Consumer Recycled Content Percent

0%

Pre-Consumer Recycled Content Percent

0%

Principal Heading(s)

1500 Health Insurance Claim Form

Print and Ruling Color(s)

OCR Red

Sheet Size

8.5 x 11

Total Recycled Content Percent

0%

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