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    Adams®

    CMS Health Insurance Claim Form, Three-Part Carbonless, 9.5 x 11, 100 Forms Total

    • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
    • OCR red ink for scanning.

    UPS Shipping Available - Item can be shipped via UPS

    Item: ABFCMS1500CV
    Manufacturer: Adams®View similar

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    Decription
    CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.
    Accessories
    LX-350 Dot Matrix Printer, 9 Pins, Narrow Carriage
    Epson®
    EPSC11CC24001
    Login for Your Price
    LX-350 Dot Matrix Printer, 9 Pins, Narrow Carriage
    Epson®
    EPSC11CC24001
    Login for Your Price
    General Information
    Global Product TypeInsurance Forms
    Total Recycled Content Percent0%
    Principal Heading(S)1500 Health Insurance Claim Form
    Print And Ruling Color(S)OCR Red
    Copy Paper Color(S)White
    Format IndicatorUnbound
    Form Type DetailsCMS-1500
    Paper Color(S)White
    Printer CompatibilityDot Matrix
    Pre-Consumer Recycled Content Percent0%
    Form Size9.5 x 11
    Form Quantity (Total)100
    Post-Consumer Recycled Content Percent0%
    Copy TypesThree-Part Carbonless
    Forms Per Page1
    Dated/UndatedUndated
    Color FamilyWhite
    Other Information
    GreenNo
    EPA CPG CompliantNo
    Assembly RequiredNo assembly is required
    MSDSNot Regulated
    Non ReturnableItem is Returnable
    RecycledNo
    Related Items AvailableYes
    UPS Shipping AvailableItem can be shipped via UPS
    Stocked ItemNo
    Value Pack AvailableNo
    Warranty ProvidedNo
    ANSI BIFMANo

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