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

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

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OfficeSupply.com$15.27

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

Brand
Adams
UPC
00087958150018