CMS-1500 Health Insurance Claim Forms
for use by Private Practitioners
Accommodates reporting of your NPI - National Provider Identier.
Designed for processing on high speed OCR scanning equipment.
Printed in special red “dropout” ink on basis weight 20# paper.
Available for laser, continuous form pin-feed and snap-apart sets.
Optional pressure sensitive mailing label available on continuous forms. Label is blown-on, self-imaging.
Laser Cut Sheets Item # CMSLC - Single sheet - 2,500 per case
Continuous Forms Item # CMS1 - 1 part form - 2,500 per case
Item # CMS2 - 2 part form - 1,000 per case Paper sequence: White/Canary
Item # CMSW2 - 2 part form - 1,000 per case Paper sequence: White/White
Item # CMS3 - 3 part form - 1,000 per case Paper sequence: White/Canary/Pink
Continuous Forms with Labels Item # CMS1B - 1 part form - 1,000 per case
Item # CMS2B - 2 part form - 1,000 per case Paper sequence: White/Canary
2-Part Snap-Apart Forms Item # CMSS - 2 part form - 500 per case Paper sequence: White/Canary
See our Form Filler Software for CMS-1500 on page 7