FORM,HLTH INS,CONT2PT,100

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