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

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

ABFCMS1500CV
CMS1500CV
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: 9.5 x 11.
Available
CMS Health Insurance Claim Form, Three-Part Carbonless, 9.5 x 11, 100 Forms Total
Contract ID: 47QSCCD0007
Vendor: ESSENDANT
Assembly Indicator: N
Country of Origin: United States
Green Indicator: N
Item Depth: 11
Item Height: 0.867
Item Width: 9.467
Item Weight: 2.077
Selling Copy Short: CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.
Selling Copy Medium: CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.
Selling Point #1: CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
Selling Point #2: OCR red ink for scanning.
Unit of Measure Qty: 100
NCP000006474
Product Description
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.