Adams® CMS Health Insurance Claim Form, 9-1/2 x 11, Three-Part, 100 Continuous Forms
New
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.
| $27.71 USD Retail $27.99 |
Extended Warrenty
| 1 Year Extended Warrenty | $5.54 |
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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.
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.
Product Specifications
| Copy Types | Three-Part Carbonless |
| Form Quantity | 100 |
| Form Quantity | 100 |
| Form Quantity | 100 |
| Form Size | 9 1/2 x 11 |
| Forms Per Page | 1 |
| Global Product Type | Forms-Insurance |
| Global Product Type | Forms-Insurance |
| Global Product Type | Forms-Insurance |
| Layout | One Form per Sheet |
| Package_Includes | Includes 100 forms. |
| Paper Color(s) | White |
| Paper Color(s) | White |
| Paper Color(s) | White |
| Paper Color(s) | Blue |
| Paper Color(s) | Blue |
| Paper Color(s) | Blue |
| Post-Consumer Recycled Content Percent | 0% |
| Post-Consumer Recycled Content Percent | 0% |
| Post-Consumer Recycled Content Percent | 0% |
| Pre-Consumer Recycled Content Percent | 0% |
| Pre-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% |
| Total Recycled Content Percent | 0% |
| Total Recycled Content Percent | 0% |
| Copy Types | Three-Part Carbonless |
| Form Size | 9 1/2 x 11 |
| Forms Per Page | 1 |
| Layout | One Form per Sheet |
| Package_Includes | Includes 100 forms. |
| 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 |
Material Safety Data Sheet
A Material Safety Data Sheet (MSDS) is a document that contains information on the potential hazards (health, fire, reactivity and environmental) and how to work safely with the chemical product.
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