CMS Health Insurance Claim Form, One-Part, 8.5 x 11, 100 Forms

$25.13

FORM,LSR,HLTH,INSRNCE,FRM

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 Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 100; Sheet Size: 8.5 x 11.

Additional information

Weight 1.04 lbs
Dimensions 11 × 8.49 × 0.47 in

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