Medicaid Claim Form Laser 1 Part
From: $45.00
- Size: 8.5 x 11
- Stock Item – no customization
- Paper: 1 part carbonless snap-apart format
- Form is printed in red ink
- Check FAQ for production times.
Medicaid Claim Form CMS-1500 – 1 Part
Claim Form CMS-1500 or HCFA-1500 is a 1-part form; it has already been authorized by Medicare and Medicaid Services to meet all insurance claim requirements. This is a standard form.
| Weight | N/A |
|---|---|
| Dimensions | 1 × 2 × 3 in |
| Quantity | 500, 1000 |
| Paper Type | 1 part (white only) |
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