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CMS Health Insurance Claim Form, Three-Part Carbonless, 9.5 x 11, 100 Forms Total
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Product Details
Product Highlights
- CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
- OCR red ink for scanning.
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: 9 1/2 x 11; Forms Per Page: 1; Form Quantity: 100; Principal Heading(s): 1500 Health Insurance Claim Form.
Product Specifications
| Dimensions / Specifications | |
|---|---|
| Unit of Measure | PK |
| Item Dimensions | 9.47 in. x 0.87 in. x 11.00 in. (W x H x D) |
| Item Weight | 2.077 lbs |
| Carton Pack Quantity | 4 PK |
| Carton Pack Dimensions | 10.00 in. x 4.07 in. x 11.40 in. (W x H x D) |
| Carton Pack Weight | 8.500 lbs |
| Pack Quantity | 100 EA |
| This item is sold by the PK which contains 100 EA | |
| Shipping Info | |
|---|---|
| Can Ship via UPS? | Yes |
| Can Ship via Air Carrier? | Yes |
| Hazmat restrictions? | No |
| Additional Information | |
|---|---|
| Is Certified with EPA/CPG? | No |
| Considered Green (less environmental impact)? | No |
| Made of Some or All Recycled Materials? | No |
| Warranty Offered? | No |
| Underwriter's Laboratory Approval? | No |
| Item Specifications | |
|---|---|
| Brand | Adams® |
| Global Product Type | Forms-Insurance |
| Printer Compatibility | Dot Matrix |
| Principal Heading(s) | 1500 Health Insurance Claim Form |
| Copy Types | Three-Part Carbonless |
| Punching | Dot Matrix Pin Feed Holes |
| Form Size | 9.5 x 11 |
| Forms Per Page | 1 |
| Form Quantity | 100 |
| Layout | One Form per Sheet |
| Paper Color(s) | Blue/White |
| Print and Ruling Color(s) | OCR Red |
| Pre-Consumer Recycled Content Percent | 0% |
| Post-Consumer Recycled Content Percent | 0% |
| Total Recycled Content Percent | 0% |
| Manufacturer Info | |
|---|---|
| Brand | Adams® (website) |
| Brand Contact | 800-282-7261 |
| Warranty Offered? | n |
| Manufacturer Stock No. | CMS1500CV |
| Staples Equivalent SKU | 486076 |
| Retail GTIN (UPC) | 00087958150001 |
| Country of Origin | US |
| UNSPSC Number | 00141118 |
| Product ID | 9465279 |
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