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Adams CMS1500L2 Health Insurance Claim Form

1 Part - 11" x 8.50" Form Size - White Sheet(s) - Red Print Color - 250 / Pack

Item # ABFCMS1500L2

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Retail/List price: $45.92
Your price:$27.07 for Pack
You save 41%!
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Inventory last updated: 12/10/2016 9:30pm EST

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  • Approved by NUCC
  • White 1-part health insurance claim form (1500)
  • Printed in OCR red ink for scanning
  • Laser-compatible
  • Made in the USA
The Manufacturer's Description CMS-1500 health insurance claim form is approved by the AMA and the National Uniform Claim Committee. Laser-compatible form is printed in OCR Red for scanning. Detached size of this one-part form is 8-1/2" wide x 11" high.

MAIN FEATURES


Product TypeClaim Form
Brand NameAdams
ManufacturerTOPS Products
Product NameHealth Insurance Claim Form
Manufacturer Part NumberCMS1500L2
Manufacturer Website Addresshttp://www.tops-products.com
Packaged Quantity250 / Pack

OTHER FEATURES


Number of Parts1
Form Length11"
Form Width8.50"
Environmentally FriendlyYes
Environmental CertificationSFI
Sheet ColorWhite
Country of OriginUnited States
RecycledNo
Recycled Content0%
Post-consumer-waste%0%
Assembly RequiredNo
ColorWhite
Certifications & Standards
  • AMA
  • National Uniform Claim Committee
Print ColorRed
Print TechnologyLaser

ADDITIONAL CHARACTERISTICS


UPC code087958515008
Alternate code/substitution
Moore prefix and stock number
Weight2.5
Height1
Length11
Width8.5
Product Classification CodeEFFA
Country of OriginUS
Ready to AssembleN
RecycledN
UPS-ableY
Recommended substitutionsTOP50135RV
Old item number
Minority/Women-Owned/Challenged Vendor
Old item number
Non-returnableN
Special order itemN
Relevant TermsAdams,Forms,Claims,1-Part Health Insurance Claim Form One Part
 forms & record keeping tops cms1500l2 1011091695 abfcms1500l2 14111800 0087958515008 087958515008 abf cms1500l2 adams business forms forms claims 1-part health insurance claim form one part adams health insurance claim form 1 part 11" 8.50" form size white sheets red print color 250 / pack Health Insurance Claim Form Claim Form No Yes SFI 0
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