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Adams CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 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.
$17.81
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Adams CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 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.
- CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
- OCR red ink for scanning.
-
Assembly RequiredNo
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Brand NameAdams
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Copy TypesTwo-Part Carbonless
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Country of OriginUnited States
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Dated/UndatedUndated
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Form Size8.5 x 11 8.5 x 11
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Forms Per Page1
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Global Product TypeInsurance Forms
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Paper Color(s)White
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Post-Consumer Recycled Content Percent0%
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Pre-Consumer Recycled Content Percent0%
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Principal Heading(s)1500 Health Insurance Claim Form
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Print and Ruling Color(s)OCR Red
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RecycledNo
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Sheet Size8.5 x 11
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Total Recycled Content Percent0%