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Adams CMS Health Insurance Claim Form Three-Part 100 Continuous Forms CMS1500CV
Your Price:
$27.12
Item #
N-828381
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Free Shipping
Free Budget Shipping
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Adams® CMS Health Insurance Claim Form
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: 9.5 x 11.
- Global Product Type: Insurance Forms
- Form Type Details: CMS-1500
- Dated/Undated: Undated
- Forms Per Page: 1
- Form Size: 9.5 x 11
- Format Indicator: Unbound
- Form Quantity (Total): 100
- Copy Types: Three-Part Carbonless
- Principal Heading(s): 1500 Health Insurance Claim Form
- Paper Color(s): White
- Color Family: White
- Copy Paper Color(s): White
- Printer Compatibility: Dot Matrix
- 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%
 | WARNING: This product can expose you to chemicals including Di(2-ethylhexyl)phthalate (DEHP), which is known to the State of California to cause cancer and birth defects or other reproductive harm. For more information, go to www.P65Warnings.ca.gov. |
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Shipping Restrictions
- This item cannot be shipped to PO Boxes.
- This item can be shipped only within the U.S.
- UPC: 087958150001
- Mfr's Part #: CMS1500CV
