Claim Form CMS-1500 or HCFA-1500 is a 1-part form; it has already been authorized by Medicare and Medicaid Services to meet all insurance claim requirements. This is a standard form.
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4.73
Out of 5.0
5 Star
(26,391)
4 Star
(5,399)
3 Star
(1,518)
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 Laser 1 Part
From:
$45.00
Weight
lbs
Dimensions
1 × 2 × 3 in
Quantity
500, 1000
Paper Type
1 part (white only)
Sep 09, 2025
Robert Coppit
Always prompt and reliable.
Sep 09, 2025
Yoana Iturriaga
great service
Sep 09, 2025
Quincey Jackson
Online ordering was simple and the customization is great
Sep 09, 2025
Gary Finch
My company is so pleased with the quality and value of these custom work orders!
Sep 09, 2025
David Spivey
easy order
Sep 08, 2025
elisha cody
user friendly
Sep 08, 2025
Kevin Tapley
So far quick and easy
Sep 08, 2025
Izet Martinovic
Very good customer service and very happy about help my order thanks
Sep 08, 2025
Randy Cape
thanks
Sep 08, 2025
Hurmon Gordon
Complicated had to place order several times before I was successful.
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