Cart Summary
Cart   
  Checkout
Back to: Assorted Products Medical Supplies Medical Filing and Office Supplies
printPrint this page

Narrow by: Clear All

Rating Clear

Price Clear

Need help?

Chat Call Customer Support 1 (800) STAPLES

Health Care Forms

Please Wait
error iconSorry, but an error has been made.
6 items
6 items
Compare
64.99Per Federal regulations, all Health Care Providers must use the CMS formsFile a hard copy of each claim with patient records in case you need to resubmit a claimCompatible with laser printersCMS Health Insurance Forms (CMS-1500) for Laser Printershttp://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$thb$/CMS-Health-Insurance-Forms-CMS-1500-for-Laser-Printers/product_668844CMS Health Insurance Forms (CMS-1500) for Laser Printers5.023 66.99Per Federal regulations, all Health Care Providers must use the CMS formsFile a hard copy of each claim with patient records in case you need to resubmit a claimOne part, whiteCMS Health Insurance Forms (CMS-1500), 1-Part Pin-Feed w/ NPIhttp://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$thb$/CMS-Health-Insurance-Forms-CMS-1500-1-Part-Pin-Feed-w-NPI/product_668812CMS Health Insurance Forms (CMS-1500), 1-Part Pin-Feed w/ NPI4.53 66.99Per Federal regulations, all Health Care Providers must use the CMS formsFile a hard copy of each claim with patient records in case you need to resubmit a claimTwo-part, white/yellowCMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Yellowhttp://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$thb$/CMS-Health-Insurance-Forms-CMS-1500-2-Part-w-NPI-White-Yellow/product_668816CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Yellow5.02 66.99Per Federal regulations, all Health Care Providers must use the CMS formsFile a hard copy of each claim with patient records in case you need to resubmit a claimTwo-part, white/whiteCMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Whitehttp://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$thb$/CMS-Health-Insurance-Forms-CMS-1500-2-Part-w-NPI-White-White/product_668827CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/White4.02 66.99Per Federal regulations, all Health Care Providers must use the CMS formsFile a hard copy of each claim with patient records in case you need to resubmit a claimAvailable in one or two-partCMS Health Insurance Forms for Continuous Form Dot-Matrix Printershttp://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$thb$/CMS-Health-Insurance-Forms-for-Continuous-Form-Dot-Matrix-Printers/product_SS998783CMS Health Insurance Forms for Continuous Form Dot-Matrix Printers5.02 22.999" x 12-1/2"Self sealingAll envelopes have security lining9" X 12-1/2" Envelopes, 1500LRhttp://s7d5.scene7.com/is/image/Staples/s0046884_sc7?$thb$/9-X-12-1-2-Envelopes-1500LR/product_3996929" X 12-1/2" Envelopes, 1500LR0.00 39.99All envelopes have security lining9-1/2" x 4-1/2"Compatible with Dot-Matrix and Laser printers9-1/2" X 4-1/2" Envelopes, 1500-Ehttp://s7d5.scene7.com/is/image/Staples/s0046883_sc7?$thb$/9-1-2-X-4-1-2-Envelopes-1500-E/product_4056259-1/2" X 4-1/2" Envelopes, 1500-E4.52 46.49All envelopes have security lining9-1/2" x 4-1/2", (Self-Sealing)Compatible with Dot-Matrix and Laser printers9-1/2" X 4-1/2", Self-Sealing Envelopes, 1500EShttp://s7d5.scene7.com/is/image/Staples/s0046883_sc7?$thb$/9-1-2-X-4-1-2-Self-Sealing-Envelopes-1500ES/product_4230469-1/2" X 4-1/2", Self-Sealing Envelopes, 1500ES0.00 22.99All envelopes have security liningAvailable in (9-1/2" x 4-1/2") & (9" x 12-1/2")Compatible with Dot-Matrix and Laser printersCMS Health Insurance Envelopeshttp://s7d5.scene7.com/is/image/Staples/s0046884_sc7?$thb$/CMS-Health-Insurance-Envelopes/product_SS1019416CMS Health Insurance Envelopes4.52 65.99Easily file a medical claim with a patient's insurance carrierFile a hard copy of each claim with patient records in case you need to resubmit a claimCompatible with laser printersUB-04 Hospital Claim Form for Laser Printershttp://s7d5.scene7.com/is/image/Staples/s0200843_sc7?$thb$/UB-04-Hospital-Claim-Form-for-Laser-Printers/product_683689UB-04 Hospital Claim Form for Laser Printers5.01 57.99Easily file a medical claim with a patient's insurance carrierFile a hard copy of each claim with patient records in case you need to resubmit a claim1-Part formsUB-04 Hospital Claim Form for Dot-Matrix Printers, 1-Parthttp://s7d5.scene7.com/is/image/Staples/s0200809_sc7?$thb$/UB-04-Hospital-Claim-Form-for-Dot-Matrix-Printers-1-Part/product_683688UB-04 Hospital Claim Form for Dot-Matrix Printers, 1-Part0.00 62.99Easily file a medical claim with a patient's insurance carrierFile a hard copy of each claim with patient records in case you need to resubmit a claim2-Part formsUB-04 Hospital Claim Form for Dot-Matrix Printers, 2-Parthttp://s7d5.scene7.com/is/image/Staples/s0200809_sc7?$thb$/UB-04-Hospital-Claim-Form-for-Dot-Matrix-Printers-2-Part/product_683687UB-04 Hospital Claim Form for Dot-Matrix Printers, 2-Part0.00 109.99Easily file a medical claim with a patient's insurance carrierFile a hard copy of each claim with patient records in case you need to resubmit a claim3-Part formsUB-04 Hospital Claim Form for Dot-Matrix Printers, 3-Parthttp://s7d5.scene7.com/is/image/Staples/s0200809_sc7?$thb$/UB-04-Hospital-Claim-Form-for-Dot-Matrix-Printers-3-Part/product_683686UB-04 Hospital Claim Form for Dot-Matrix Printers, 3-Part0.00 72.99Easily file a medical claim with a patient's insurance carrierFile a hard copy of each claim with patient records in case you need to resubmit a claim4-Part formsUB-04 Hospital Claim Form for Dot-Matrix Printers, 4-Parthttp://s7d5.scene7.com/is/image/Staples/s0200809_sc7?$thb$/UB-04-Hospital-Claim-Form-for-Dot-Matrix-Printers-4-Part/product_683685UB-04 Hospital Claim Form for Dot-Matrix Printers, 4-Part0.00 57.99Easily file a medical claim with a patient's insurance carrierFile a hard copy of each claim with patient records in case you need to resubmit a claimAvailable in one, two, three and four-part formsUB-04 Hospital Claim Form for Dot-Matrix Printershttp://s7d5.scene7.com/is/image/Staples/s0200809_sc7?$thb$/UB-04-Hospital-Claim-Form-for-Dot-Matrix-Printers/product_SS1034853UB-04 Hospital Claim Form for Dot-Matrix Printers0.00 28.49UB-92 matching jumbo envelopes9" x 12-1/2"Compatible with Laser and Dot-Matrix printersUB-92/UB-04 Hospital Claim Envelopes, 9" x 12-1/2"http://s7d5.scene7.com/is/image/Staples/s0060090_sc7?$thb$/UB-92-UB-04-Hospital-Claim-Envelopes-9-x-12-1-2/product_519753UB-92/UB-04 Hospital Claim Envelopes, 9" x 12-1/2"0.00

This Web site is intended for use by US residents only.See International Sites.

See our delivery policy for full details.

Copyright 2011, Staples, Inc., All Rights Reserved.

Questions? Call 1-800-STAPLES (1-800-782-7537) or email us at http://www.staples.com/emailus.

Site Map | RSS Feed