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CMS Health Insurance Forms (CMS-1500) for Laser Printers
Item 668844
Model CMSLC
 CMS Health Insurance Forms (CMS-1500) for Laser Printers
  • Per Federal regulations, all Health Care Providers must use the CMS forms
  • File a hard copy of each claim with patient records in case you need to resubmit a claim
  • Compatible with laser printers
 Expected Delivery3 - 5 Business Days
Price:
$52.99
2,500/Box
     Qty.
Add to Cart
Add to Favorites
CMS Health Insurance Forms for Continuous Form Dot-Matrix Printers CMS Health Insurance Forms for Continuous Form Dot-Matrix Printers
  • Per Federal regulations, all Health Care Providers must use the CMS forms
  • File a hard copy of each claim with patient records in case you need to resubmit a claim
  • Available in one or two-part
 Expected Delivery3 - 5 Business Days
Price:
As low as
$64.99
1,000/Pack
    
Details
CMS Health Insurance Envelopes CMS Health Insurance Envelopes
  • All envelopes have security lining
  • Available in (9-1/2" x 4-1/2") & (9" x 12-1/2")
  • Compatible with Dot-Matrix and Laser printers
 Expected Delivery3 - 5 Business Days
Price:
As low as
$35.49
500/Box
    
Details
UB-04 Hospital Claim Form for Laser Printers
Item 683689
Model UB04LC
 UB-04 Hospital Claim Form for Laser Printers
  • 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
 Expected Delivery3 - 5 Business Days
Price:
$57.99
2,500/Box
     Qty.
Add to Cart
Add to Favorites
UB-04 Hospital Claim Form for Dot-Matrix Printers UB-04 Hospital Claim Form for Dot-Matrix Printers
  • 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
  • Available in one, two, three and four-part forms
 Expected Delivery3 - 5 Business Days
Price:
As low as
$52.99
2,500/Box
    
Details
UB-92/UB-04 Hospital Claim Envelopes, 9in. x 12-1/2in.
Item 519753
Model 1492LL
 UB-92/UB-04 Hospital Claim Envelopes, 9" x 12-1/2"
  • UB-92 matching jumbo envelopes
  • 9" x 12-1/2"
  • Compatible with Laser and Dot-Matrix printers
 Expected Delivery3 - 5 Business Days
Price:
$26.29
100/Box
     Qty.
Add to Cart
Add to Favorites
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