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CMS-1500 Forms and #10 Window Envelopes

Get both CMS-1500 forms and envelopes in a convenient set for a great price. The CMS-1500 Forms, version 02/12, are updated with the latest revisions and are 100% compliant - printed to exact specifications for layout, paper, ink and for use with most laser printers.

The #10 envelopes are specifically designed to perfectly fit CMS-1500 Forms, are self-seal, 100% compatible with UCCI requirements and tinted inside for confidentiality.


Note: self-seal envelopes are non-refundable



Sets sold in packs of 500, 1,000 or 2,500

Sets also available with catalog envelopes - L0288



Due to COVID-19 safety protocols, shipping times for this product may be delayed.
We appreciate your understanding as we work to fill orders as quickly as possible.

SKU: L0279
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$52.95
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Form Specifications

  • Form measurements: 8.5 X 11
  • Uses soy-based black and OCR "dropout" red ink for greater scanning accuracy
  • Printed on Sustainable Foresty Initiative (SFI) paper
  • Features Anti-Rejection Protection™ - guaranteed acceptance by insurance carriers for rejetion-proof filing and quicker payment

Envelope Specifications

  • Catalog right window envelopes for CMS-1500 claim forms
  • Envelope holds up to 50 unfolded forms
  • Envelope measurements: 9 X 12.5
  • Window measurements: 4.5 X 1.125
  • Window position: upper right
       

Form Specifications

  • Form measurements: 8.5 X 11
  • Uses soy-based black and OCR "dropout" red ink for greater scanning accuracy
  • Printed on Sustainable Foresty Initiative (SFI) paper
  • Features Anti-Rejection Protection™ - guaranteed acceptance by insurance carriers for rejetion-proof filing and quicker payment

Envelope Specifications

  • Catalog right window envelopes for CMS-1500 claim forms
  • Envelope holds up to 50 unfolded forms
  • Envelope measurements: 9 X 12.5
  • Window measurements: 4.5 X 1.125
  • Window position: upper right
       
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