Adams® CMS Health Insurance Claim Form, 9-1/2 x 11, Three-Part, 100 Continuous Forms (ABFCMS1500CV)
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 Origin | US |
| Item Weight | 2.077 lbs. |
| Item Width | 9.467 in. |
| Item Depth | 11.0 in. |
| Item Height | 0.867 in. |
| Carton Weight | 8.5 lbs. |
| Carton Pack Qty | 4 PK |