CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total

Name: CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
Brand: Adams®
SKU: ABFCMS1500L1V
Price: 16.27 USD
Availability: InStock

Item # ABFCMS1500L1V

Brand: Adams®

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Status: In Stock, 138

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Quick Ship -51% $16.27 /PK

Delivery: 1 - 2 business days

Save 51% over retail price of $32.99

Delivery: 1 - 2 business days

In Stock

Save 25% over Staples price of $21.59

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CMS, Two-Part Carbonless, 8.5 x 11, 100 Forms Total $16.27

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

Product Specifications

Dimensions / Specifications
Unit of Measure	PK
Item Dimensions	8.49 in. x 0.47 in. x 11.00 in. (W x H x D)
Item Weight	1.040 lbs
Carton Pack Quantity	5 PK
Carton Pack Dimensions	8.61 in. x 2.89 in. x 11.15 in. (W x H x D)
Carton Pack Weight	5.516 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
Has Energy Star Rating?	No
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	Handwrite Only, Typewriter
Principal Heading(s)	1500 Health Insurance Claim Form
Copy Types	Two-Part Carbonless
Form Size	8.5 x 11
Forms Per Page	1
Form Quantity	100
Sheet Size	8.5 x 11
Layout	One Form per Sheet
Paper Color(s)	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.	CMS1500L1V
Staples Equivalent SKU	486075
Retail GTIN (UPC)	00087958150018
Country of Origin	US
UNSPSC Number	00141118
Product ID	7607930