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CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total

Price:$18.48/Pack

Reg Price:$32.99

You Save:$14.51 (43.98%)

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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

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