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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 15, 2025 Thomasine Davis

First-time ordering. So far so good.

Mar 15, 2025 Maudie Brinkley

Quick and easy

Mar 14, 2025 Leisa Miller

I ordered shirts before and I am back for more ......

Mar 14, 2025 Darla Loggains

Simple and quick...Just wish you had more shipping options...24.00 is very pricey!

Mar 14, 2025 Peter Grimes

All good, thank you.

Mar 14, 2025 Chris Mabey

quick and easy

Mar 14, 2025 Jessica Mathis

Thank you - the envelopes were great.

Mar 14, 2025 Josilena Frye

great work thank you

Mar 14, 2025 Anna Wittmann-Meise

Fine experience

Mar 13, 2025 Jerry thomas

Simple to place an order,

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