Image of Adams® CMS1500L1V CMS Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total
Image of Adams® CMS1500L1V CMS Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total
Image of Adams® CMS1500L1V CMS Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total
Image of Adams® CMS1500L1V CMS Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total
Image of Adams® CMS1500L1V CMS Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total
Image of Adams® CMS1500L1V CMS Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total

Adams® CMS1500L1V CMS Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total

SKU: ABFCMS1500L1V

Regular priceYour Price: $13.00
/

Usually ships in 2-3 business days

Unit
  • Free shipping on orders over $75

This site is protected by hCaptcha and the hCaptcha Privacy Policy and Terms of Service apply.

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: No; 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 ®
Assembly Required: No
Alternate Part Numbers: ABFCMS1500L1V, ABF-CMS1500L1V, CMS1500L1V, 00087958150018 (GTIN), 00087958150018 (GTIN), 087958150018 (UPC), 00087958150018 (GTIN), 087958150018 (UPC), 00087958150018 (GTIN), 087958150018 (UPC)
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. D x 8.49 in. W x 0.47 in. H
Weight: 1.0400 lb.
Expiration Date: No

Environmental Properties

Energy Star: No
Green Indicator: No
Recycled: No

Recently viewed