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Adams CMS-1500 Health Insurance Claim Forms, 2-Part, Continuous, 9.5 x 11 Inches, 100 Sets per Pack (CMS1500CV)

R 1,105

or 4 x payments of R276.25 with Payflex

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Availability: Currently in Stock

Delivery: 10-20 working days

Adams CMS-1500 Health Insurance Claim Forms, 2-Part, Continuous, 9.5 x 11 Inches, 100 Sets per Pack (CMS1500CV)
- CMS-1500 health insurance claim form
- Printed in OCR red ink for scanning
- Approved by CMS, NUCC and OMB
- 2-part continuous
- Made in the USA
Adams CMS-1500 Health Insurance Claim Forms are approved by the CMS, the National Uniform Claim Committee (NUCC) and the OMB. These continuous, 2-part forms are printed in OCR red ink for scanning with a white/white paper sequence. The continuous format works with most dot matrix/pin-feed printers and typewriters. Sheets measure 9.5 x 11 inches with a detached size of 8.5 x 11 inches. There are 100 sets per pack. This version (02/12) is for use beginning January 6, 2014. Whether it's a multi-part form, notebooks, writing pads, record books, or any of the hundreds of items we offer, you can count on Adams products to help.
Country USA
Brand Adams
Manufacturer TOPS Business Forms, Inc.
Binding Office Product
ItemPartNumber CMS1500CV
Model CMS1500CV
Color White
ReleaseDate 2023-03-29
UnitCount 1
UPCs 087958150001
EANs 0087958150001