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Adams®

CMS Health Insurance Claim Form, Three-Part Carbonless, 9.5 x 11, 100 Forms Total

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

UPS Shipping Available - Item can be shipped via UPS

Item: ABFCMS1500CV
Manufacturer: Adams®View similar

orig: $34.61 your: $33.92 savings: 2.00 %
$33.92 / 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.
Accessories
LX-350 Dot Matrix Printer, 9 Pins, Narrow Carriage
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EPSC11CC24001
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LX-350 Dot Matrix Printer, 9 Pins, Narrow Carriage
Epson®
EPSC11CC24001
$237.16 EA
General Information
Global Product TypeInsurance Forms
Total Recycled Content Percent0%
Principal Heading(S)1500 Health Insurance Claim Form
Print And Ruling Color(S)OCR Red
Copy Paper Color(S)White
Format IndicatorUnbound
Form Type DetailsCMS-1500
Paper Color(S)White
Printer CompatibilityDot Matrix
Pre-Consumer Recycled Content Percent0%
Form Size9.5 x 11
Form Quantity (Total)100
Post-Consumer Recycled Content Percent0%
Copy TypesThree-Part Carbonless
Forms Per Page1
Dated/UndatedUndated
Color FamilyWhite
Other Information
GreenNo
EPA CPG CompliantNo
Assembly RequiredNo assembly is required
MSDSNot Regulated
Non ReturnableItem is Returnable
RecycledNo
Related Items AvailableYes
UPS Shipping AvailableItem can be shipped via UPS
Stocked ItemNo
Value Pack AvailableNo
Warranty ProvidedNo
ANSI BIFMANo

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