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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 13, 2025 Osha Carter

Simplicity in ordering is great!

Mar 12, 2025 Mohammad Sahil

Nice

Mar 12, 2025 Janet marei Kubiak

So far, simple quick and easy

Mar 12, 2025 Brian Markwell

Quick and easy

Mar 12, 2025 ben simon

good

Mar 12, 2025 John Hobbis

Great experience!!

Mar 12, 2025 Christina Krausman

Ordering was easy.

Mar 12, 2025 Christopher Almony

Product is overpriced for what it is upon seeing it in person

Mar 12, 2025 Ryan Shanahan

easy

Mar 12, 2025 Scott Blockler

Quick and easy

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