Medicaid Claim Form 2 Part
From: $58.00
- Size: 8.5 x 11
- Stock Item – no customization
- Paper: 2 part carbonless snap-apart format
- Form printed in red ink
- Check FAQ for production times.
Medicaid Claim Form CMS-1500 – 2 Part Carbonless
This Medicaid Claim Form is available in a 2-part carbonless snap-apart format. This form has been already approved by Medicare and Medicaid for insurance claims.
| Weight | N/A |
|---|---|
| Dimensions | 1 × 2 × 3 in |
| Quantity | 250, 500, 1000 |
| Paper Type | 2 part (white-yellow) |
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