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Adams® CMS Health Insurance Claim Form, One-Part, 8.5 x 11, 100 Forms (ABF486075)

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$35.89
SKU: ABF486075
UNIT: PK
UPC CODE: 087958150018
MANUFACTURER: CARDINAL BRANDS INC.
MANUFACTURER COUNTRY: United States
ITEM WEIGHT: 1.04 lb

Out of Stock - May be available for back/special-order

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: 8.5 x 11; Forms Per Page: 1; Form Quantity: 100; Sheet Size: 8.5 x 11.

  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
  • OCR red ink for scanning.
Global Product Type: Forms-Insurance; Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 100; Sheet Size: 8.5 x 11; Principal Heading(s): 1500 Hea
Global Product Type Forms-Insurance
Form Size 8.5 x 11
Forms Per Page 1
Form Quantity 100
Sheet Size 8.5 x 11
Principal Heading(s) 1500 Health Insurance Claim Form
Layout One Form per Sheet
Copy Types One-Part
Printer Compatibility Typewriter/Handwrite Only
Paper Color(s) 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 Weight1.04 lbs.
Item Width8.491 in.
Item Depth11.004 in.
Item Height0.467 in.
Carton Weight5.516 lbs.
Carton Pack Qty5 PK

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