Customer Reviews

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.
SKU: CMS-1500-1-NP-OS Tag:

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.


Medicaid Claim Form Laser 1 Part

From: $45.00

Customer Reviews
  • Stock Item

    Stock Items are not personalized and print as shown.

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    Proof will be emailed to you after the order is placed.

Weight N/A
Dimensions 1 × 2 × 3 in

500, 1000

Paper Type

1 part (white only)