Image of Adams® CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
Image of Adams® CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
Image of Adams® CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
Image of Adams® CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
Image of Adams® CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
Image of Adams® CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
Image of Adams® CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
Image of Adams® CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
Image of Adams® CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
Image of Adams® CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
Image of Adams® CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
Image of Adams® CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
CARDINAL BRANDS INC.

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

PK (Package of 100)

NSN/SKU: ABFCMS1500L1V
Your Price: $13.00 / PK ($0.13 each)
Free Shipping on orders over $75
Est. Lead Time: Usually ships in 2-3 business days
Shipping Policy
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.

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


Product Details

SKU: ABFCMS1500L1V
Manufacturer: CARDINAL BRANDS INC.
Mfr. Part Number: CMS1500L1V
Brand Name: Adams®
Alternate Part Numbers: ABFCMS1500L1V, ABF-CMS1500L1V, CMS1500L1V, 00087958150018 (GTIN)
Country of Origin: US (United States)
TAA Compliant: Yes
UNSPSC Code: 0014111806
Unit of Measure: PK (Package of 100)
UPS Shippable: Yes
Air Shippable: Yes
Item Dimensions: 11.00 in. x 8.49 in. x 0.47 in.
Weight: 1.0400 lb.
Expiration Date: No

Environmental Properties

Energy Star: No
Green Indicator: No
Recycled: No