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CMS Health Insurance Claim Form, Three-Part Carbonless, 9.5 x 11, 100 Forms Total

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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 #:  ABFCMS1500CV

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