Medicaid Claim Form Laser 1 Part
- Size: 8.5 x 11
- Paper: 1 part carbonless snap-apart format
- Form is printed in red ink
- Prints with your company information in black ink
- Check our FAQ for current 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. Customize this form with the name and address of your medical office.
Call us at 1-800-370-5591 in the event that you have any questions.
|Dimensions||1 × 2 × 3 in|
250, 500, 1000
1 part (white only)