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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 09, 2025 Johnny Thomas

Easy, good price, quick service

May 08, 2025 Pearl Fox

very happy

May 08, 2025 Spencer Pearce

Quick and easy

May 08, 2025 Shaun Miller

Awesome

May 08, 2025 Larry Beaver

Its a Very easy order process and I love that our Logo is being used!

May 08, 2025 Michael Lawson

Very easy to place an order.

May 08, 2025 Esteban Rosas

First time hope we continue doing buisness thanks

May 08, 2025 Ricky Frught

Easy &amp; convenient.

May 08, 2025 Curtis Martin

Very straightforward

May 08, 2025 Nahun Granados

Like quality

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