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Adams CMS Health Insurance Claim Form 2-Part Carbonless 100 Forms CMS1500L1V
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- SBS-859308
- Medical Forms
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- New
- Adams
For Government/Education/Business pricing, please call 440.355.8008
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Adams® CMS Health Insurance Claim Form
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Form Type Details: CMS-1500; Dated: No; Forms Per Page: 1; Form Size: 8.5 x 11.
 | WARNING: This product can expose you to chemicals including Di(2-ethylhexyl)phthalate (DEHP), which is known to the State of California to cause cancer and birth defects or other reproductive harm. For more information, go to www.P65Warnings.ca.gov. |
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Shipping Restrictions
- This item cannot be shipped to PO Boxes.
- This item can be shipped only within the U.S.
- UPC: 087958150018
- Mfr's Part #: CMS1500L1V
