Beaconexpressonline.com is 889 compliant. Please click here to request a 889 Form.

0 $0.00
items in your cartto quote Checkout
Ooops no items were found.
Try something else.
Ok
Loading…
To cart
Quote Me
Checkout

Due to challenges caused by the COVID-19 pandemic, We Are working diligently to minimize Items having to be Backordered, however Stockage level cannot be guaranteed at this time, Please Bare With us During this trying time, We are sorry for any inconvenience that this is causing. Your Base Supply Center is working hard to stay on top of this issue. Please contact the store to confirm availability of items. Thank you for your understanding.

0
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

170 In Stock
Item Code: ABFCMS1500L1V
Category Forms
Manufacturer CARDINAL BRANDS INC.

Description

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/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.

Specifications

Made In

US

UNSPSC Code

14111806

Weight

1.04lb

Height

0.47in

Width

8.49in

Length

11in

Brand

Adams

Category

Forms

Color Family

White

Copy Types

Two-Part Carbonless

Dated/undated

Undated

Form Quantity (Total)

100

Form Size

8.5 x 11

Form Type Details

CMS-1500

Format Indicator

Unbound

Forms Per Page

1

Global Product Type

Insurance Forms

Paper Color(s)

White

Post-Consumer Recycled Content Percent

0%

Pre-Consumer Recycled Content Percent

0%

Principal Heading(s)

1500 Health Insurance Claim Form

Print and Ruling Color(s)

OCR Red

Sheet Size

8.5 x 11

Total Recycled Content Percent

0%

Starting from
$21.11 / PK
/
LIST PRICE $32.99
36%
- +
Add to quicklist
Compare
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

170 In Stock
Item Code: ABFCMS1500L1V
Category Forms
Manufacturer CARDINAL BRANDS INC.

Description

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/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.

Specifications

Made In

US

UNSPSC Code

14111806

Weight

1.04lb

Height

0.47in

Width

8.49in

Length

11in

Brand

Adams

Category

Forms

Color Family

White

Copy Types

Two-Part Carbonless

Dated/undated

Undated

Form Quantity (Total)

100

Form Size

8.5 x 11

Form Type Details

CMS-1500

Format Indicator

Unbound

Forms Per Page

1

Global Product Type

Insurance Forms

Paper Color(s)

White

Post-Consumer Recycled Content Percent

0%

Pre-Consumer Recycled Content Percent

0%

Principal Heading(s)

1500 Health Insurance Claim Form

Print and Ruling Color(s)

OCR Red

Sheet Size

8.5 x 11

Total Recycled Content Percent

0%

Starting from
$21.11 / PK
/
LIST PRICE $32.99
36%
- +
Add to quicklist
Compare
SEARCH ×