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Adams® CMS Health Insurance Claim Form, 9-1/2 x 11, Three-Part, 100 Continuous Forms (ABFCMS1500CV)

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$36.70
SKU: ABFCMS1500CV
UNIT: PK
UPC CODE: 087958150001
MANUFACTURER: CARDINAL BRANDS INC.
MANUFACTURER COUNTRY: United States
ITEM WEIGHT: 2.077 lb
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Form Size: 9 1/2 x 11; Forms Per Page: 1; Form Quantity: 100; Principal Heading(s): 1500 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.
See table for Product Details                                                                                                                         
Global Product Type Forms-Insurance
Form Size 9.5 x 11
Forms Per Page 1
Form Quantity 100
Principal Heading(s) 1500 Health Insurance Claim Form
Layout One Form per Sheet
Copy Types Three-Part Carbonless
Punching Dot Matrix Pin Feed Holes
Printer Compatibility Dot Matrix
Paper Color(s) Blue/White
Print and Ruling Color(s) OCR Red
Pre-Consumer Recycled Content Percent 0%
Post-Consumer Recycled Content Percent 0%
Total Recycled Content Percent 0%
Country of OriginUS
Item Weight2.077 lbs.
Item Width9.467 in.
Item Depth11.0 in.
Item Height0.867 in.
Carton Weight8.5 lbs.
Carton Pack Qty4 PK

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