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CMS 1500 Form
for Filing Medicare Claims

Form CMS-1500 is the basic form required by CMS (Centers for Medicare & Medicaid Services) for filing physician and supplier Medicare claims. Micro Format CMS 1500 forms are printed to Government Printing Office (GPO) Standards in OCR Red Ink.
Approved by the AMA's Council on Medical Services and HCFA/CMS
especially for use with laser printers.

CMS 1500 Claim Forms

CMS 1500 Claim Forms - Mini Carton
1,000 sheets per carton
$50.00 per carton plus shipping by UPS

CMS 1500 Claim Forms - Standard Carton
2,500 sheets per carton
$95.00 per carton plus shipping by UPS

1,000 Envelopes (2 cartons of 500)
$250.00 plus shipping by UPS

HCFA | CMS 1500 #10.5 (4-1/2" x 9-1/2") Envelopes
SELF SEAL Flap

1,000 Envelopes (2 cartons of 500)
$80.00 plus shipping by UPS