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Main product image

Size: 8.5 x 11
Stock Item – no customization
Paper: 2 part carbonless snap-apart format
Form printed in red ink
Check FAQ for production times.

SKU: CMS-1500-2-OS-NP-OS Tag: Medical Forms

Medicaid Claim Form CMS-1500 – 2 Part Carbonless

This Medicaid Claim Form is available in a 2-part carbonless snap-apart format. This form has been already approved by Medicare and Medicaid for insurance claims.

We're currently collecting product reviews for this item. In the meantime, here are some reviews from our past customers sharing their overall shopping experience.

4.73

Out of 5.0

5 Star

(26,345)

4 Star

(5,396)

3 Star

(1,517)

2 Star

(104)

1 Star

(103)

Overall Rating

95%

of customers that buy
from this merchant give
them a 4 or 5-Star rating.

Medicaid Claim Form 2 Part

From: $58.00

country

1Stock Item

Stock Items are not personalized and print as shown.

2Configure & Price

Request digital proof

Yes. Approval needed before print.

No. Everything is correct. Please print.

Email my proof to

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

Final total:

Weight	5 lbs
Dimensions	1 × 2 × 3 in
Quantity	250, 500, 1000
Paper Type	2 part (white-yellow)

May 04, 2025 Ronald Stephens

ok

May 04, 2025 Doug's

Great

May 04, 2025 Jose Magana

Easy to work with

May 04, 2025 Carri Conrad

I haven’t received the order yet

May 04, 2025 eudoro lopez

Great quality, thank you

May 04, 2025 Todd Linton

Companies easy to work with my logo look really good on my shirts

May 04, 2025 Sharon Cooper

Excellent experience in ordering customized receipt books for my company.

May 04, 2025 Christopher Gaines

Thanks

May 03, 2025 John Hughes

Great price and product

May 03, 2025 Stephen Goddard

Quick and easy

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