FORM,LSR,HLTH,INSRNCE,FRM

FORM,LSR,HLTH,INSRNCE,FRM

ABFCMS1500L1V

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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. CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total

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