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Cms Health Insurance Claim Form, Three-part Carbonless, 9.5 X 11, 1-page, Continuous, 100 Forms
$26.26
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: 9.5 x 11 Forms Per Page: 1 Form Quantity: 100 Principal Heading(s): 1500 Health Insurance Claim Form Layout: One Form per Sheet Copy Types: Three-Part Carbonless Punching: Dot Matrix Pin Feed...
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: 9.5 x 11
- Forms Per Page: 1
- Form Quantity: 100
- Principal Heading(s): 1500 Health Insurance Claim Form
- Layout: One Form per Sheet
- Copy Types: Three-Part Carbonless
- Punching: Dot Matrix Pin Feed Holes
- Printer Compatibility: Dot Matrix
- Paper Color(s): Blue/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%
- Ship Class Code: M"
