CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total, GENERAL FORMS - GoAVM.com
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CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total

Quick Find
: 7607930

Casepack
: 100

UOM
: PK

Model #
: CMS1500L1V

SKU
: ABFCMS1500L1V

$14.67
/ PK
This product qualifies for quantity discount pricing.
QuantityPer Item Price
1-5$14.67
6-10$14.35
11+$14.13

Product Description

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.