Adams CMS Health Insurance Claim Form 2-Part Carbonless 100 Forms CMS1500L1V
Adams® CMS Health Insurance Claim Form
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Form Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
- Total Recycled Content Percent: 0%
- Post-Consumer Recycled Content Percent: 0%
- Pre-Consumer Recycled Content Percent: 0%
- Product Biodegradability in Days: 0
- Print and Ruling Color(s): OCR Red
- Color Family: White
- Paper Color(s): White
- Principal Heading(s): 1500 Health Insurance Claim Form
- Copy Types: Two-Part Carbonless
- Form Quantity (Total): 100
- Format Indicator: Unbound
- Sheet Size: 8.5 x 11
- Form Size: 8.5 x 11
- Forms Per Page: 1
- Dated/Undated: Undated
- Form Type Details: CMS-1500
- Global Product Type: Insurance Forms
WARNING: This product can expose you to chemicals including Di(2-ethylhexyl)phthalate (DEHP), which is known to the State of California to cause cancer and birth defects or other reproductive harm. For more information, go to www.P65Warnings.ca.gov. |
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Shipping Restrictions
- This item cannot be shipped to PO Boxes.
- This item can be shipped only within the U.S.
- UPC: 087958150018
- Mfr's Part #: CMS1500L1V