9-1/2 x 11" CMS-1500 HCFA 2-Part Continuous Form – White/Canary
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Form Size: 9-1/2 x 11"
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Parts: 2 Part
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Color: White & Canary
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Type: Continuous
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Perforation: 1/2" from Left & Right
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Qty Per Pack: 1000 Sets
Keep your medical billing running smoothly with our CMS-1500 (HCFA) 2-Part Continuous Forms, the standard professional paper claim form trusted by healthcare providers, physicians, and medical billing specialists nationwide.
Designed to meet official CMS-1500 formatting standards, these forms are accepted by Medicare, Medicaid, and most private insurance carriers, making them an essential supply for any medical office, billing department, or healthcare facility.
Features & Benefits:
✓ Latest 2012 Approved CMS-1500 Format — Meets current HCFA/CMS-1500 claim form requirements (OMB-0938-1197)
✓ Required for Insurance Reimbursement — The official form healthcare providers need to bill patients' insurance companies
✓ 2-Part Carbonless — White original + Canary copy for easy record-keeping and filing
✓ Continuous Feed — Optimized for dot matrix and continuous-feed printers for high-volume billing environments
✓ Perforated Edges — Clean 1/2" left & right perforations for neat, professional separation
✓ High-Volume Ready — 1,000 sets per carton, ideal for busy medical practices and billing offices
✓ Made in the USA – Manufactured domestically for consistent, high-quality results you can trust
Who Needs This Form?
Required by physicians, chiropractors, therapists, and all healthcare billing professionals who submit paper claims to Medicare, Medicaid, or private insurers. If your practice processes insurance reimbursements, this is the form you need — in the version that's officially approved and accepted.
