Insurance Claim Forms- Snap 2 Part
Insurance Claim Forms
8.5" x 11 3/4", 2 Part for manual Handwritten Claims. Printed in red OCR (optical character recognition)ink on special bond paper in strict compliance with government printing.
We have 10 warehouses located nationwide for low cost and quick delivery.
The new Insurance Claim form is coming soon!
Please note that the new version of the Insurance Claim Form will be available shortly. Although the National Uniform Claim Committee (NUCC) has approved the form CMS-1500 (revision 02/12), it is still awaiting FINAL APPROVAL from the Office of Management Budget (OMB). Please contact our customer service department at: 800-778-6247 for the latest information on the CMS-1500 Rev. 02/12, and how to order once approval is complete.
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