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CMS 1500 Forms Envelope. Self-seal. 500 minimum quantity. Ships in 24 hours.
Blank Non-Imprinted CMS 1500 Forms standard #10 envelopes.
White Self Seal Window CMS 1500 Envelope (#10)
Blank (not imprinted)
Inside Tint
100% compatible with UCCI requirements.
Minimum order is 500 CMS 1500 envelopes..
24 hour turnaround.
Choose left or right window
We have envelopes that work with both the old and new HCFA/CMS 1500 forms, choose your option in the drop-down menu below.
Envelope Dimensions:
Standard CMS 1500 Right Window:
9.5' x 4.125"
Window: 4.5" x 1.125", 4" from left, 1.625" from bottom
Old HCFA 1500 Right Window Envelope:
9.525 x 4.5"
Window: 5" x 1.25", 3-7/16" from left, 2" from bottom
Standard Left Window for UB04s and ADAs:
8.875" x 4.125"
Window: 4.125" x .875", .25" from left, .75" from bottom
To determine shipping cost, select number of packages, add to shipping cart, then enter your zip code in the Shipping Calculator box. It will present you with your shipping options in a pop-up window. Expedited shipping available.
500 envelopes per package.
Minimum order is 1 package.
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