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.
CMS Health Insurance Claim Form, One-Part, 8.5 x 11, 100 Forms
$25.13
FORM,LSR,HLTH,INSRNCE,FRM
Additional information
| Weight | 1.04 lbs |
|---|---|
| Dimensions | 11 × 8.49 × 0.47 in |
Related products
-
Guest Check Unit Set, Carbonless Duplicate, 7 1/4 x 4 1/4, 250/Pack
$24.25 Add to cart -
Carbonless Sales Order Book, Three-Part Carbonless, 3 1/4 x 7 1/8, 50 sheets
$5.73 Add to cart -
Guest Check Unit Set, Carbonless Duplicate, 6 7/8 x 3 3/8, 50 Forms, 10/Pack
$15.31 Add to cart -
Receipt Book, 2 3/4 x 7 3/16, Three-Part Carbonless, 50 Forms
$5.87 Add to cart