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HCFA 1500 claim forms (23 items found)

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1 - 18 of 23 items
  • Cms-1500 (02/12) Laser Cut 2500 Pack
    Item 125557
    Model CMS12LC

    Cms-1500 (02/12) Laser Cut 2500 Pack

    Reviews forCms-1500 (02/12) Laser Cut 2500 Pack
    0.0stars
    (0 reviews)
    • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
    • 2,500 per case
    • Form is "8.5x11"
    Price:
    $68.99
    Each

    Add to Cart

    Currently Out of Stock.
  • Cms-1500 (02/12) Laser Cut 250 Pack
    Item 125555
    Model CMS12LC250

    Cms-1500 (02/12) Laser Cut 250 Pack

    Reviews forCms-1500 (02/12) Laser Cut 250 Pack
    0.0stars
    (0 reviews)
    • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
    • 250 per case
    • Form is "8.5x11"
    Price:
    $34.49
    Each

    Add to Cart

    Currently Out of Stock.
  • Cms-1500 (02/12) Laser Cut 500 Pack
    Item 125556
    Model CMS12LC500

    Cms-1500 (02/12) Laser Cut 500 Pack

    Reviews forCms-1500 (02/12) Laser Cut 500 Pack
    0.0stars
    (0 reviews)
    • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
    • 500 per case
    • Form is "8.5x11"
    Price:
    $45.99
    Each

    Add to Cart

    Currently Out of Stock.
  • Cms-1500 (02/12) 2-Part Continuous W/C
    Item 125554
    Model CMS122

    Cms-1500 (02/12) 2-Part Continuous W/C

    Reviews forCms-1500 (02/12) 2-Part Continuous W/C
    0.0stars
    (0 reviews)
    • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
    • 1,000 per case
    • Form is "8.5x11"
    Price:
    $64.39
    Each

    Add to Cart

    Currently Out of Stock.
  • Cms-1500 (02/12) 1-Part Continuous W
    Item 125542
    Model CMS121

    Cms-1500 (02/12) 1-Part Continuous W

    Reviews forCms-1500 (02/12) 1-Part Continuous W
    0.0stars
    (0 reviews)
    • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
    • 2,500 per case
    • Form is "8.5x11"
    Price:
    $60.99
    Each

    Add to Cart

    Currently Out of Stock.
  • Cms-1500 (02/12) 2-Part Continuous W/W
    Item 125553
    Model CMS12W2

    Cms-1500 (02/12) 2-Part Continuous W/W

    Reviews forCms-1500 (02/12) 2-Part Continuous W/W
    0.0stars
    (0 reviews)
    • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
    • 1,000 per case
    • Form is "8.5x11"
    Price:
    $64.39
    Each

    Add to Cart

    Currently Out of Stock.
  • UB-04 Hospital Claim Form for Dot-Matrix Printers, 4-Part
    Item 683685
    Model UB044

    UB-04 Hospital Claim Form for Dot-Matrix Printers, 4-Part

    Reviews forUB-04 Hospital Claim Form for Dot-Matrix Printers, 4-Part
    0.0stars
    (0 reviews)
    • Easily file a medical claim with a patient's insurance carrier
    • File a hard copy of each claim with patient records in case you need to resubmit a claim
    • 4-Part forms
    Price:
    $88.49
    500/Box

    Add to Cart

    Currently Out of Stock.
  • ADA Dental Claim Form Laser Cut
    Item 203204
    Model 1200

    ADA Dental Claim Form Laser Cut

    Reviews forADA Dental Claim Form Laser Cut
    0.0stars
    (0 reviews)
    • 100% Compliant to meet ADA guidelines
    • Laser-Cut Sheet
    • 2500 per case
    Price:
    $68.99
    Each

    Add to Cart

    Currently Out of Stock.
  • ComplyRight ADA  Dental Claim Form, 1-Part Continuous, 2500 Box
    Item 728369
    Model 2601

    ComplyRight ADA Dental Claim Form, 1-Part Continuous, 2500 Box

    Reviews forComplyRight ADA Dental Claim Form, 1-Part Continuous, 2500 Box
    0.0stars
    (0 reviews)
    • 100% compliant to ensure strict adherence to size, type font and layout requirements
    • Accommodates reporting of National Provider Identifier (NPI)
    • Designed for processing on high speed OCR scanning equipment
    Price:
    $73.99
    2500/Pack

    Add to Cart

    Currently Out of Stock.
  • ComplyRight ADA ADA Dental Claim Form, 2-Part Continuous, 1000 Box
    Item 728286
    Model 2602

    ComplyRight ADA ADA Dental Claim Form, 2-Part Continuous, 1000 Box

    Reviews forComplyRight ADA ADA Dental Claim Form, 2-Part Continuous, 1000 Box
    0.0stars
    (0 reviews)
    • 100% compliant to meet ADA guidelines
    • Accommodates reporting of National Provider Identifier (NPI)
    • Designed for processing on high speed OCR scanning equipment
    Price:
    $59.29
    1000/Pack

    Add to Cart

    Currently Out of Stock.
  • ComplyRight ADA Dental Claim Form, 1-Part Continuous, 1000/Pack
    Item 728273
    Model 26011

    ComplyRight ADA Dental Claim Form, 1-Part Continuous, 1000/Pack

    Reviews forComplyRight ADA Dental Claim Form, 1-Part Continuous, 1000/Pack
    0.0stars
    (0 reviews)
    • All claim forms officially licensed by the American Dental Association and supported by most popular dental software packages
    • 100% compliant to meet ADA guidelines
    • Accommodates reporting of National Provider Identifier (NPI)
    Price:
    $31.49
    EACH

    Add to Cart

    Currently Out of Stock.
  • ComplyRight ADA Dental Claim Form, Laser-Cut Sheet, 1000/Cartoon
    Item 728276
    Model 12001

    ComplyRight ADA Dental Claim Form, Laser-Cut Sheet, 1000/Cartoon

    Reviews forComplyRight ADA Dental Claim Form, Laser-Cut Sheet, 1000/Cartoon
    0.0stars
    (0 reviews)
    • All claim forms officially licensed by the American Dental Association and supported by most popular dental software packages
    • 100% compliant to meet ADA guidelines
    • Accommodates reporting of National Provider Identifier (NPI)
    Price:
    $34.49
    1000/Carton

    Add to Cart

    Currently Out of Stock.
  • UB-04 Hospital Claim Form for Laser Printers
    Item 683689
    Model UB04LC

    UB-04 Hospital Claim Form for Laser Printers

    Reviews forUB-04 Hospital Claim Form for Laser Printers
    5.0stars
    (1 reviews)
    • Easily file a medical claim with a patient's insurance carrier
    • File a hard copy of each claim with patient records in case you need to resubmit a claim
    • Compatible with laser printers
    Price:
    $62.29
    2,500/Box

    Add to Cart

    Currently Out of Stock.
  • UB-04 Hospital Claim Form for Dot-Matrix Printers, 1-Part
    Item 683688
    Model UB041

    UB-04 Hospital Claim Form for Dot-Matrix Printers, 1-Part

    Reviews forUB-04 Hospital Claim Form for Dot-Matrix Printers, 1-Part
    0.0stars
    (0 reviews)
    • Easily file a medical claim with a patient's insurance carrier
    • File a hard copy of each claim with patient records in case you need to resubmit a claim
    • 1-Part forms
    Price:
    $77.99
    2,500/Box

    Add to Cart

    Currently Out of Stock.
  • UB-04 Hospital Claim Form for Dot-Matrix Printers, 2-Part
    Item 683687
    Model UB042

    UB-04 Hospital Claim Form for Dot-Matrix Printers, 2-Part

    Reviews forUB-04 Hospital Claim Form for Dot-Matrix Printers, 2-Part
    0.0stars
    (0 reviews)
    • Easily file a medical claim with a patient's insurance carrier
    • File a hard copy of each claim with patient records in case you need to resubmit a claim
    • 2-Part forms
    Price:
    $81.69
    1,000/Box

    Add to Cart

    Currently Out of Stock.
  • UB-04 Hospital Claim Form for Dot-Matrix Printers, 3-Part
    Item 683686
    Model UB043

    UB-04 Hospital Claim Form for Dot-Matrix Printers, 3-Part

    Reviews forUB-04 Hospital Claim Form for Dot-Matrix Printers, 3-Part
    0.0stars
    (0 reviews)
    • Easily file a medical claim with a patient's insurance carrier
    • File a hard copy of each claim with patient records in case you need to resubmit a claim
    • 3-Part forms
    Price:
    $133.39
    1,000/Box

    Add to Cart

    Currently Out of Stock.
  • Paris Health Insurance Claim Forms 8 1/2in. x 11in. 20 lbs. Medical Healthcare Form, White,2500/Case
    Item 195379
    Model 05108P

    Paris Health Insurance Claim Forms 8 1/2" x 11" 20 lbs. Medical Healthcare Form, White,2500/Case

    Reviews forParis Health Insurance Claim Forms 8 1/2" x 11" 20 lbs. Medical Healthcare Form, White,2500/Case
    0.0stars
    (0 reviews)
    • White
    • Size: 8 1/2" x 11"
    • 2500/Case
    Price:
    $69.99
    2500/Case

    Add to Cart

    Currently Out of Stock.
  • Paris Health Insurance Claim Forms 8 1/2in. x 11in. 74 GSM Medical Healthcare Form, White,2500/Case
    Item 195378
    Model 04106P

    Paris Health Insurance Claim Forms 8 1/2" x 11" 74 GSM Medical Healthcare Form, White,2500/Case

    Reviews forParis Health Insurance Claim Forms 8 1/2" x 11" 74 GSM Medical Healthcare Form, White,2500/Case
    0.0stars
    (0 reviews)
    • White
    • Size: 8 1/2" x 11"
    • 74 GSM
    Price:
    $69.99
    2500/Case

    Add to Cart

    Currently Out of Stock.
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1 - 18 of 23 items

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