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CMS Health Insurance Claim Form, Three-Part Carbonless, 9.5 x 11, 1/Page, Continuous, 100 Forms
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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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