Material Handling Solutions Llc Material Handling Solutions Llc
4001 S Shary Rd Ste 550
Mission, TX 78572

Phone: 956-465-4177
Fax: 206-984-3770

Adams® Cms Health Insurance Claim Form printable version

  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
  • OCR red ink for scanning.
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.

Click on the Product No(s). below to view further information and order now!


Product No. ABFCMS1500L
Global Product Type Forms-Insurance Claim
Form Size (W x H) 8 1/2 in x 11 in
Forms Per Page 1
Form Quantity 500
Principal Heading(s) 1500 Health Insurance Claim Form
Layout One Form per Sheet
Copy Types Carbonless Triplicate
Punching
Printer Compatibility Laser
Paper Color(s) 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 %
Price
CT$27.30


Product No. ABFCMS1500C
Global Product Type Forms-Insurance Claim
Form Size (W x H) 9 1/2 in x 11 in
Forms Per Page 1
Form Quantity 100
Principal Heading(s) 1500 Health Insurance Claim Form
Layout One Form per Sheet
Copy Types Carbonless Triplicate
Punching Dot Matrix Holes
Printer Compatibility Dot Matrix
Paper Color(s) 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 %
Price
PK$22.78