CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total
Price:$17.94/Pack
Reg Price:$32.99
You Save:$15.05 (45.62%)
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Quick Overview
- CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
- OCR red ink for scanning.
- Item #: ABFCMS1500L1V