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

Item #: ABFCMS1500CV-ES 
Available: In Stock
Adams® CMS Health Insurance Claim Form
  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
  • OCR red ink for scanning.
17.31
PACK
Quantity:
ABFCMS1500CV-ES
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: 9.5 x 11; Forms Per Page: 1; Form Quantity: 100; Principal Heading(s): 1500 Health Insurance Claim Form.

Forms

Copy Types
Three-Part Carbonless
Form Quantity
100
Form Size
9.5 x 11
Forms Per Page
1
Global Product Type
Forms-Insurance
Layout
One Form per Sheet
Paper Color(s)
Blue/White
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Principal Heading(s)
1500 Health Insurance Claim Form
Print and Ruling Color(s)
OCR Red
Printer Compatibility
Dot Matrix
Punching
Dot Matrix Pin Feed Holes
Total Recycled Content Percent
0%
UPC
087958150001

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LX-350 Dot Matrix Printer, 9 Pins, Narrow Carriage
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