CMS 1500 Claim Forms - 500 Sheets | New

The University of Nebraska Medical Center (UNMC), a state institution operating under the Board of Regents of the University of Nebraska, awarded a purchase order (PO 4800204034) to Amazon Capital Services Inc., located in Seattle, Washington, on May 20, 2026. The contract, valued at $24.80, covers the supply of one unit of CMS 1500 Claim Forms containing 500 sheets (new stock). The line item is identified by material number B0CLB5R7RQ and carries a unit price of $24.80. Performance is scheduled for completion by May 27, 2026, with delivery to UNMC General Supply at 601 South Saddle Creek Road, Omaha, Nebraska.

The purchase order is governed by the University of Nebraska's Standard Terms of Purchase, with payment terms established as Net 30 and F.O.B. Destination with freight prepaid. The delivery location serves as the place of performance, with the unloading point designated as UDA. Payment is to be remitted to the UNMC Accounts Payable office. The Centers for Medicare & Medicaid Services (CMS) 1500 Claim Forms supplied under this award are administrative supplies utilized for healthcare billing and claims submission purposes within the medical center's operations.