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Adams

CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total

Category Forms
CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
Adams

CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total

Item Code: ABFCMS1500L1V
Category Forms
Manufacturer CARDINAL BRANDS INC.

Description

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: 8.5 x 11.

Specifications

Made In

US

UNSPSC Code

14111806

Weight

1.04lb

Height

0.47in

Width

8.49in

Length

11in

Brand

Adams

Category

Forms

Color Family

White

Copy Types

Two-Part Carbonless

Dated/undated

Undated

Form Quantity (Total)

100

Form Size

8.5 X 11

Form Type Details

CMS-1500

Format Indicator

Unbound

Forms Per Page

1

Global Product Type

Insurance Forms

Paper Color(s)

White

Post-Consumer Recycled Content Percent

0%

Pre-Consumer Recycled Content Percent

0%

Principal Heading(s)

1500 Health Insurance Claim Form

Print and Ruling Color(s)

OCR Red

Sheet Size

8.5 X 11

Total Recycled Content Percent

0%

Starting from
$32.99
/
LIST PRICE $32.99
%
- +
Add to quick list
Compare
Adams

CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total

Category Forms
CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
Adams

CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total

Item Code: ABFCMS1500L1V
Category Forms
Manufacturer CARDINAL BRANDS INC.

Description

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: 8.5 x 11.

Specifications

Made In

US

UNSPSC Code

14111806

Weight

1.04lb

Height

0.47in

Width

8.49in

Length

11in

Brand

Adams

Category

Forms

Color Family

White

Copy Types

Two-Part Carbonless

Dated/undated

Undated

Form Quantity (Total)

100

Form Size

8.5 X 11

Form Type Details

CMS-1500

Format Indicator

Unbound

Forms Per Page

1

Global Product Type

Insurance Forms

Paper Color(s)

White

Post-Consumer Recycled Content Percent

0%

Pre-Consumer Recycled Content Percent

0%

Principal Heading(s)

1500 Health Insurance Claim Form

Print and Ruling Color(s)

OCR Red

Sheet Size

8.5 X 11

Total Recycled Content Percent

0%

Starting from
$32.99
/
LIST PRICE $32.99
%
- +
Add to quick list
Compare
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