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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)

Mar 30, 2025 Markeith Mcgill

Easy n fast

Mar 30, 2025 Jim Green

happy with products ordered

Mar 30, 2025 Ted Anderson

Easy to order .. good prices… fast delivery

Mar 30, 2025 Jesus Alvarado

Is good service

Mar 30, 2025 Troy Hunt

Quick and easy order

Mar 30, 2025 Thomas Heidrick

Lots of options, easy to navigate

Mar 30, 2025 Belqui Aleman

thank you

Mar 30, 2025 Matthew Rasmus

A little hard to read I'm hoping I got it right I hope it was easy to read

Mar 29, 2025 julia iturriaga

good

Mar 29, 2025 Anonymous Customer

Great Website

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