Single sheet
Duplicating sets
CMS Claim Envelopes
Payment Envelopes

250 duplicating set CMS 1500 / HCFA 1500 claim form
250 duplicating set CMS 1500 / HCFA 1500 claim form
250 duplicating set CMS 1500 / HCFA 1500 claim form
Item#: 2HCFA1500U250
$31.95
Select Version: 

Product Description
250 duplicating set CMS 1500 / HCFA 1500 claim forms. When you fill out the claim s copy is created on the second sheet below for your files. Specify the new version (02/12) or old version (08/05) under Version. There is no difference in price. Price includes shipping to any address if the 50 states and sales tax (if applicable).