Home > All Products > Adams® CMS Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total
Adams® CMS Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total
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Forms, Recordkeeping & Reference Materials Out of Stock

Adams® CMS Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total

by Adams® | Item #: ABFCMS1500L1V | SKU: CMS1500L1V | UPC: 087958150018 | Made in: US
List Price
$9.63 /each
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.

Product Overview

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

Item #ABFCMS1500L1V
SKUCMS1500L1V
UPC087958150018
BrandAdams®
CategoryForms, Recordkeeping & Reference Materials
Sub CategoryForms
List Price$9.63
Country of OriginUS
Dimensions11.004" L x 8.491" W x 0.467" H
Weight1.0400 lbs
Form Type DetailsCMS-1500
Global Product TypeInsurance Forms
DatedNo
Forms Per Page1
Form Size8.5 x 11
Sheet Size8.5 x 11
Format IndicatorUnbound
Form Quantity (Total)100
Copy TypesOne-Part (No Copies)
Principal Heading(s)1500 Health Insurance Claim Form
Paper Color(s)White
Color FamilyWhite
Print and Ruling Color(s)OCR Red
Product Biodegradability IndicatorN
Product Compostability IndicatorN
Pre-Consumer Recycled Content Percent0%
Post-Consumer Recycled Content Percent0%
Total Recycled Content Percent0%

Carton Info

Count5 PK / Carton
Weight6 lbs / Carton
UPC087958150018
Product TypeFORM,LSR,HLTH,INSRNCE,FRM

Product Highlights

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

Ships via standard ground delivery. Allow 3-5 business days.

Item Weight: 1.0400 lbs

Dimensions: 11.004" L x 8.491" W x 0.467" H