Product Media

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

Product Number: ESS-ABFCMS1500CV
$36.70
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.
Quantity

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.
ESS-ABFCMS1500CV

Data sheet

Punching
Dot Matrix Pin Feed Holes
Paper Color(s)
White
Paper Color(s)
Blue/White
Global Product Type
Insurance Forms
Global Product Type
Forms-Insurance
Dated/Undated
Undated
Color Family
White
Pre-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Total Recycled Content Percent
0%
Unit Of Measure
PK
Form Size
9.5 x 11
Forms Per Page
1
Form Quantity
100
Principal Heading(s)
1500 Health Insurance Claim Form
Layout
One Form per Sheet
Print and Ruling Color(s)
OCR Red
Copy Types
Three-Part Carbonless
Copy Paper Color(s)
White
Printer Compatibility
Dot Matrix
Form Type Details
CMS-1500
Format Indicator
Unbound
Form Quantity (Total)
100

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