Adams CMS-1500 Health Insurance Claim Forms, 2-Part, Continuous, 9.5 x 11 Inches, 100 Sets per Pack (CMS1500CV)

Very Good - Item may not come in original packaging.

FEATURES

• CMS-1500 health insurance claim form
• Printed in OCR red ink for scanning
• Approved by CMS, NUCC and OMB
• 2-part continuous
• Made in the USA