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

Adams CMS-1500 Health Insurance Claim Forms are approved by the CMS, the National Uniform Claim Committee (NUCC) and the OMB. These continuous, 2-part forms are printed in OCR red ink for scanning with a white/white paper sequence. The continuous format works with most dot matrix/pin-feed printers and typewriters. Sheets measure 9.5 x 11 inches with a detached size of 8.5 x 11 inches. There are 100 sets per pack. This version (02/12) is for use beginning January 6, 2014. Whether it's a multi-part form, notebooks, writing pads, record books, or any of the hundreds of items we offer, you can count on Adams products to help.