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)
Mar 04, 2025
Josh Shepherd
Always been reliable
Mar 04, 2025
tammy smith
Quick delivery, great product
Mar 03, 2025
Larry Tavlarides
REALLY appreciate being able to look up a previous order and renew an order off of that; super helpful.
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