Search Site

Health Insurance Claim Form, 2-Part, Continuous, 100 Sets

Be the first to review this product

Adams

ABF CMS1500CV

Product Description

Approved by CMS, NUCC and OMB.Printed in OCR Red for scanning.2-part continuous format.White/white paper sequence for 2-part continuous format.Continuous form works with most dot matrix/pin-feed printers and typewriters. Detached size: 8-1/2" W x 11" H.Version (02/12) for use beginning January 6, 2014.

Availability: In stock

$27.99
Must be purchased in multiples of 4 packs
Features Additional Information
Frequently bought together

Customers who bought this product also commonly purchased the following combination of items.

Customers Who Bought This Item Also Bought