Zoom the image with mouse
Ask us anything
Available 24/7 at 714-902-5549
ask an expert
Centers For Medicare And Medicaid Services Claim Forms, Cms1500-hcfa1500, 8.5 X 11, 500 Forms-pack
$61.45
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning. Ship Class Code: M Special Features: For Laser Printers Total Recycled Content Percent: 0% Post-Consumer Recycled Content Percent: 0% Pre-Consumer Recycled Content Percent: 0% Print and Ruling Color(s): OCR Red Paper...
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.
- Ship Class Code: M
- Special Features: For Laser Printers
- Total Recycled Content Percent: 0%
- Post-Consumer Recycled Content Percent: 0%
- Pre-Consumer Recycled Content Percent: 0%
- Print and Ruling Color(s): OCR Red
- Paper Color(s): White
- Paper Stock: 20 lb
- Printer Compatibility: Laser
- Layout: One Form per Sheet
- Principal Heading(s): 1500 Health Insurance Claim Form
- Form Quantity: 500
- Forms Per Page: 1
- Form Size: 8.5 x 11
- Global Product Type: Forms-Insurance"