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
(26,345)
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 Laser 1 Part
From:
$45.00
Weight
12 lbs
Dimensions
1 × 2 × 3 in
Quantity
500, 1000
Paper Type
1 part (white only)
Apr 02, 2025
John Sanders
It was good!!
Apr 02, 2025
Fernando Rebelo
It’s ver easy I recommend
Apr 02, 2025
Paul Quinn
Nice
Apr 02, 2025
LEW FISK
very easy and smooth
Apr 02, 2025
Todd Klassy
Thank you.
Apr 02, 2025
jeff santiago
Been ordering for years. Great company!
Apr 02, 2025
Robert Oder
Wonderful
Apr 02, 2025
Doug Krahn
Hard to read the signature and guarantee box
Apr 02, 2025
Benjamin Azizo
Difficult checkout
Apr 02, 2025
marty hill
Easy to customize. Good quality. Reasonable pricing.
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