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Adams CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total

34 Ratings

$14.92 / PK

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Stock Status: In Stock | Delivery in 1-2 business days

Item #: ABFCMS1500L1V | MPN: CMS1500L1V
MSRP: $32.99

Made in America
TAA Compliant
Section 889 Compliant
Item sold by Pacific Ink, an Economically Disadvantaged Woman Owned Small Business (EDWOSB)

Item 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 Type Details: CMS-1500; Dated: No; Forms Per Page: 1; Form Size: 8.5 x 11.

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

Manufacturer Name: CARDINAL BRANDS INC.

Manufacturer Part Number: CMS1500L1V

Brand Name: Adams

Country of Origin: UNITED STATES (US)

Unit of Measure: PK

Item Dimensions: 11.004 inches x 0.467 inches x 8.491 inches

Item Weight: 1.040 pounds

UNSPSC: 0014111806 | UPC: 087958150018

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Adams CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total

$14.92 / PK

Item Description

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