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Healthcare Forms

Health Insurance Claim Form - CMS-1500 - Laser Printer


CMS-1500. Pricing is for 100 forms. These claim forms (formerly HCFA-1500) are used to submit health insurance claims for services provided by health care professionals to Medicare and Medicaid, insurance companies or clearinghouses for processing. Printed in red ink on special bond paper in strict compliance with government regulations and specifications. Available in both laser and pin-fed continuous formats, with or without a Bar Code. Self-Seal compatible mailing envelope

cms-1500 health insurance claim form

Size: 8 1/2 x 11
Price: $8.91 (100 forms) Shipping: Free

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