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Adams Business Forms
CMS Health Insurance Claim Form, Three-Part Carbonless, 9.5 x 11, 1/Page, Continuous, 100PK
Mfr # CMS1500CV
Zoro # G203475015
product price: $15.99
/pk 100, $0.16/ea
$15.99
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Key Features
- Color Blue/White
- Weight 2.077 lbs
- Size 9.5 x 11
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Product Information
- Brand Adams Business Forms
- MFR # CMS1500CV
- Zoro # G203475015
- UPC # 87958150001
- Country of Origin United States
- Category Forms
Dimensions
| Size | 9.5 x 11 |
Details
| Color | Blue/White |
| Weight | 2.077 lbs |
Description
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.
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