Adams CMS Health Insurance Claim Form, 9-1/2 x 11, Three-Part, 100 Continuous Forms

(3) Reviews Product Number: ABFCMS1500CV
  • 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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$20.99
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Product Description

Adams CMS Health Insurance Claim Form, 9-1/2 x 11, Three-Part, 100 Continuous Forms - CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.

  • 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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Product Specifications

  • Assembly Required
    No
  • Brand Name
    Adams
  • Copy Types
    Three-Part Carbonless
  • Country of Origin
    United States
  • Form Quantity
    100
  • Form Size
    9 1/2 x 11 9 1/2 x 11
  • Forms Per Page
    1
  • Global Product Type
    Forms-Insurance
  • Layout
    One Form per Sheet One Form per Sheet
  • Paper Color(s)
    Blue 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
  • Printer Compatibility
    Dot Matrix
  • Punching
    Dot Matrix Pin Feed Holes
  • Recycled
    No
  • Total Recycled Content Percent
    0%

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