Adams CMS1500L1V CMS Health Insurance Claim Form, One-Part, 8.5 x 11, 100 Forms (ABF486075)

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

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. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 100; Sheet Size: 8.5 x 11.

Product Specs

Global Product TypeForms-Insurance
Form Size8.5 x 11
Forms Per Page1
Form Quantity100
Sheet Size8.5 x 11
Principal Heading(s)1500 Health Insurance Claim Form
LayoutOne Form per Sheet
Copy TypesOne-Part
Printer CompatibilityTypewriter/Handwrite Only
Paper Color(s)White
Print and Ruling Color(s)OCR Red
Pre-Consumer Recycled Content Percent0%
Post-Consumer Recycled Content Percent0%
Total Recycled Content Percent0%
Country of OriginUS
Carton Weight6 lbs.
Carton Pack Quantity5 PK
UNSPSC14111806

Shipping Weight & Item Dimensions

Weight5.516
Width8.613
Height2.885
Depth11.148

National Chemical Laboratories
Victory Innovations