https://www.staples-3p.com/s7/is/image/Staples/s0831098_sc7
Adams Health Insurance Claims (CMS1500CV)
$27.49

Adams Health Insurance Claims (CMS1500CV)

Price unavailable
Item #: 486076 Model #: CMS1500CV
4.49 Reviews
4.5
9 reviews
5 star
(7)
4 star
(1)
3 star
(0)
2 star
(0)
1 star
(1)

Online. In store. Always free.

If you aren't 100% satisfied with this item, you may return it or exchange it for free. Simply bring it back to any Staples store or send it back to us by completing a return online. For more details, please see our return policy.

I need to return an item.

Need help now? Let's chat.

  • 9-1/2" x 11"
  • Ink print color on paper: OCR Red
  • Carbonless Triplicate
$27.49
100/pack
Compare
Details

About this product

Useful Health Insurance Claims Form

  • 9-1/2" x 11"
  • Ink print color on paper: OCR Red
  • Carbonless Triplicate
  • Made in the USA
Would you like to give feedback on product content, images, or tell us about a lower price?