{"product_id":"adams®-cms-health-insurance-claim-form-form-lsr-hlth-insrnce-frm","title":"Adams® CMS Health Insurance Claim Form - FORM,LSR,HLTH,INSRNCE,FRM","description":"CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.\u003cbr\u003e\u003ctable border=\"1\"\u003e\n\u003ctr\u003e\n\u003cth\u003eSpecification\u003c\/th\u003e\n\u003cth\u003eValue\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eGlobal Product Type\u003c\/td\u003e\n\u003ctd\u003eInsurance Forms\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eForm Type Details\u003c\/td\u003e\n\u003ctd\u003eCMS-1500\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDated\/Undated\u003c\/td\u003e\n\u003ctd\u003eUndated\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eForms Per Page\u003c\/td\u003e\n\u003ctd\u003e1\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eForm Size\u003c\/td\u003e\n\u003ctd\u003e8.5 x 11\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eSheet Size\u003c\/td\u003e\n\u003ctd\u003e8.5 x 11\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eFormat Indicator\u003c\/td\u003e\n\u003ctd\u003eUnbound\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eForm Quantity (Total)\u003c\/td\u003e\n\u003ctd\u003e100\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCopy Types\u003c\/td\u003e\n\u003ctd\u003eTwo-Part Carbonless\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePrincipal Heading(s)\u003c\/td\u003e\n\u003ctd\u003e1500 Health Insurance Claim Form\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePaper Color(s)\u003c\/td\u003e\n\u003ctd\u003eWhite\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eColor Family\u003c\/td\u003e\n\u003ctd\u003eWhite\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePrint and Ruling Color(s)\u003c\/td\u003e\n\u003ctd\u003eOCR Red\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eProduct Biodegradability in Days\u003c\/td\u003e\n\u003ctd\u003e0\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePre-Consumer Recycled Content Percent\u003c\/td\u003e\n\u003ctd\u003e0%\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePost-Consumer Recycled Content Percent\u003c\/td\u003e\n\u003ctd\u003e0%\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTotal Recycled Content Percent\u003c\/td\u003e\n\u003ctd\u003e0%\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/table\u003e","brand":"essendant-test","offers":[{"title":"Default Title","offer_id":45373848617091,"sku":"ABFCMS1500L1V","price":13.39,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0650\/2262\/3875\/files\/657921.jpg?v=1748433293","url":"https:\/\/gdavidssupplies.myshopify.com\/products\/adams%c2%ae-cms-health-insurance-claim-form-form-lsr-hlth-insrnce-frm","provider":"G.Davids Supplies","version":"1.0","type":"link"}