Adams Health Insurance Claim Form

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Adams Health Insurance Claim Form

1 Part - 11" x 8.50" Form Size - White Sheet(s) - Red Print Color - 250 / Pack - View Complete Details

Product Number: ABFCMS1500L2

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Made in
Made in America

This product was manufactured in the United States.

Adams Health Insurance Claim Form - CMS-1500 health insurance claim form is approved by the AMA and the National Uniform Claim Committee. Laser-compatible form is printed in OCR Red for scanning. Detached size of this one-part form is 8-1/2 wide x 11" high."

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