CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
Feature
- OCR red ink for scanning.
Forms, Forms
Adams CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total (ABFCMS1500L1V)
Original price was: $32.99.$13.49Current price is: $13.49.
- OCR red ink for scanning.
Availability: 102 in stock
Item Specifications
| Global Product Type | Insurance Forms |
|---|---|
| Form Type Details | CMS-1500 |
| Dated/Undated | Undated |
| Forms Per Page | 1 |
| Form Size | 8.5 x 11 |
| Sheet Size | 8.5 x 11 |
| Format Indicator | Unbound |
| Form Quantity (Total) | 100 |
| Copy Types | Two-Part Carbonless |
| Principal Heading(s) | 1500 Health Insurance Claim Form |
| Paper Color(s) | White |
| Color Family | 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% |
| SKU Group | Adams® CMS Health Insurance Claim Form |
Shipping Information
| Item Weight (lbs) | 1.04 |
|---|---|
| Item Width (in) | 8.491 |
| Item Height (in) | 0.467 |
| Item Length (in) | 11.004 |
| Unit of Measure | PK |
| Sold By | PK |
| Ships via UPS | Y |
| Carton Qty | 5 |
| Carton Width (in) | 8.613 |
| Carton Length (in) | 11.148 |
| Carton Height (in) | 2.885 |
| Carton Weight (lbs) | 5.516 |
| Assembly Required | N |
Compliance & Regulatory
| Considered Green | N |
|---|---|
| Made of Recycled Materials | N |
| EPA CPG Compliant | N |
| EPA List N | N |
| EPA Registration | N |
| Prop 65 Required | N |
| Prop 65 Label Required | N |
| Safety Data Sheet (MSDS) | N |
| Pesticide Product | N |
| TSCA 6(h) | N |
| TSCA 12(b) | N |
| FDA Certified | N |
| Assembly Required | N |
| Marketplace Restriction | NORST |
Manufacturer & Product IDs
| Brand | CARDINAL BRANDS INC. |
|---|---|
| Manufacturer Part No | CMS1500L1V |
| GTIN (UPC) | 00087958150018 |
| GTIN Carton | 00000000000000 |
| UPC Retail | 087958150018 |
| UPC Carton | 00000000000000 |
| Country of Origin | US |
| UNSPSC Number | 14111806 |
Related products
-
Adams Record Ledger Book, Record-Style Rule, Blue Cover, 11.75 X 7.25 Sheets, 500 Sheets/book (ABFARB712CR5)
Original price was: $174.75.$58.49Current price is: $58.49. Add to cart -
AT-A-GLANCE Visitor Register Book, Black Cover, 10.88 X 8.38 Sheets, 60 Sheets/book (AAG8058005)
Original price was: $32.38.$17.99Current price is: $17.99. Read more -
Adams Time Cards for Acroprint, Amano and Lathem Time Clocks, Two Sides, Bi-Weekly, 3.38″ x 9″, 200/Pack (ABF9675200)
Original price was: $15.28.$8.49Current price is: $8.49. Read more
Reviews
There are no reviews yet.