Adams Health Insurance Claim Forms for Laser Printer， 8.5 x 11 Inches， 100 per Pack (CMS1500L1V)<div style="text-align: left;"><strong>[Product Information]</strong><br><ul><li>CMS-1500 health insurance claim form</li><li>Printed in OCR red ink for scanning</li><li>Approved by CMS， NUCC and OMB</li><li>Laser compatible</li><li>Made in the USA</li></ul></div><img src="http://ecx.images-amazon.com/images/I/51BXmbVnA2L.jpg" noproxy>