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
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5 Star
(26,391)
4 Star
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3 Star
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2 Star
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1 Star
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Overall Rating
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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)
Mar 27, 2013
Woody W.
I was wanting one of your forms modified and was able to get excellent help when I called in on how to order what I wanted.
Mar 27, 2013
Wendy B.
Mar 27, 2013
Teresa V.
The order was exactly as I sent it but would have liked it if suggestion was made that we could not write on the black lines of the invoice. This was our mistake and will correct the design on the next run. The print quality price and ship time are excellent.
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