Product Details

Your Name

Recipients Email

Message

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.

Choose Other Options:

Item: ABFCMS1500CV
Manufacturer: Adams®View similar

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
	Epson® LX-350 Dot Matrix Printer, 9 Pins, Narrow Carriage EPSC11CC24001 Log in for Price
	Epson® LX-350 Dot Matrix Printer, 9 Pins, Narrow Carriage EPSC11CC24001 Log in for Price

General Information
Product Biodegradability In Days	0
Global Product Type	Insurance Forms
Total Recycled Content Percent	0%
Principal Heading(S)	1500 Health Insurance Claim Form
Print And Ruling Color(S)	OCR Red
Copy Paper Color(S)	White
Format Indicator	Unbound
Form Type Details	CMS-1500
Paper Color(S)	White
Printer Compatibility	Dot Matrix
Pre-Consumer Recycled Content Percent	0%
Form Size	9.5 x 11
Form Quantity (Total)	100
Post-Consumer Recycled Content Percent	0%
Copy Types	Three-Part Carbonless
Forms Per Page	1
Dated/Undated	Undated
Color Family	White

Note: cookies must be enabled.

Category:

Go To Favorites after added