Adams CMS Health Insurance Claim Form, 8-1/2 x 11, 3-Part, 500 Forms, CT

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Adams CMS Health Insurance Claim Form, 8-1/2 x 11, 3-Part, 500 Forms, CT - ABFCMS1500L

Adams CMS Health Insurance Claim Form, 8-1/2 x 11, 3-Part, 500 Forms, CT - ABFCMS1500L CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Form Size (W x H) ... more.

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CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Form Size (W x H): 8 1/2 in x 11 in; Number of Columns: N/A; Forms Per Page: 1; Number of Entry Lines: N/A. Item Number = ABFCMS1500L UPC: 087958415001

UPC: 087958415001

Item # : ABFCMS1500L

Manufacturer : Adams®

Manufacturer Part # : CMS1500L

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