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Adams®

CMS Health Insurance Claim Form, Three-Part Carbonless, 9.5 x 11, 1/Page, Continuous, 100 Forms

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

Item: ABFCMS1500CV
Manufacturer: Adams®View similar

$25.96 / PK
 
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Decription
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.
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LX-350 Dot Matrix Printer, 9 Pins, Narrow Carriage
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LX-350 Dot Matrix Printer, 9 Pins, Narrow Carriage
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General Information
Form Quantity100
Global Product TypeForms-Insurance
LayoutOne Form per Sheet
Total Recycled Content Percent0%
Principal Heading(S)1500 Health Insurance Claim Form
Print And Ruling Color(S)OCR Red
PunchingDot Matrix Pin Feed Holes
Paper Color(S)Blue/White
Form Size9.5 x 11
Pre-Consumer Recycled Content Percent0%
Post-Consumer Recycled Content Percent0%
Copy TypesThree-Part Carbonless
Forms Per Page1
Printer CompatibilityDot Matrix

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