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Health Insurance Claim Forms - shipped fast
CMS-1500/HCFA-1500
/ UB-92 / Dental Claim Forms
|
RUSH! - 500 HCFA
/CMS 1500 |
|
Rush!
500
HCFA/CMS
1500 Forms - 2 business days -
#BCL-1 (Use HCFA $7 Airborne/UPS
shipping on checkout page) $28.95
 |
500
HCFA/CMS 1500 - $28.95
|
Fast
shipping - Best price on the Internet!!
HCFA-1500
Effective
July 1, 1992, The Health Care Finance Administration required that all
claims submitted to Medicare be submitted on form HCFA-1500 (Rev 12/90).
The form, designed for processing on high speed OCR (Optical character
recognition) scanning equipment, is printed in red "drop-out"
ink on special bond paper in strict compliance with government printing
specifications. The forms are available with or without bar code, which
may be required by some health agencies.
The
paper and inks we use in our forms are of the highest quality and have
been approved by the Health Care Finance Administration, as well as the
insurance industry. Our forms meet the high-quality standards needed to
ensure your claims are processed quickly on the automated equipment now
used by most insurance processors.
We
deliver....
QUALITY & SERVICE
*
"No Breaks" in our cartons - guaranteed! This means you can run
our forms unattended without having to worry about breaks or jamming.
*
We ship our forms in a two-piece telescopic carton. Our carton prevents
form jamming, which is often caused by flaps on a traditional box. The
carton also serves as a handy archival storage box once the forms have
been used.
(For a
picture of the form - just click the form #- Use BACK
on Your browser to return))
Please use
"Insurance Forms" pricing on shipping
|
Shipping - Please
select Insurance Forms Checkout form |
| 1-2
Cartons |
$ 12
(All are UPS Ground - Allow 4 Business days) |
| 3-4
Cartons |
$ 24 |
| 5-7
Cartons |
$ 35 |
| 8-12
Cartons |
$ 45 |
|
| Form
# |
Description |
Quantity
Per Case |
Type |
Order |
| BCL-1 |
HCFA-1500
Laser with bar code (12/90) |
2500 |
Laser |
|
| NBL-1 |
HCFA-1500
Laser with No Bar Code |
2500 |
Laser |
|
| BC-1 |
HCFA-1500
Tractor 1 Part with Bar Code |
2500 |
Tractor |
|
| NB-1 |
HCFA-1500
Tractor 1 Part with NO Bar Code |
2500 |
Tractor |
|
| BC-2 |
HCFA-1500
(12-90) Tractor 2 Part Bar Code |
1000 |
Tractor |
|
| WBC-2 |
HCFA-1500 Tractor
2 Part With Bar Code-White |
1000 |
Tractor |
|
|
BC-3 |
HCFA-1500 3pt. With Bar
Code (12/90) |
1000 |
Tractor |
|
|
BCB-1 |
HCFA-1500 1 pt.
Blown/Label W/Bar Code (12/90) |
1000 |
Tractor |
|
|
BCB-2 |
HCFA-1500 2 Pt.
Blown/Label w/Bar Code(12/90) |
1000 |
Tractor |
|
|
|
|
|
|
|
|
|
|
|
| 1500E |
HCFA-1500 #10
1/2" (4 1/2"X 9 1/2") Window Envelope (Gum-Seal) |
1000 |
|
|
| 1500ES |
HCFA-1500 #10
1/2" (4 1/2"X 9 1/2") Window Envelope (Self-Seal) |
1000 |
|
|
| 1500LR |
HCFA-1500 9
X 12 1/2" Right Window
Envelope |
1000 |
|
|
| 1500RS |
HCFA-1500 9
X 12 1/2" Right
Window Envelope Self Seal |
1000 |
|
|
| 1500LL |
HCFA-1500
9 X 12 1/2" Left
Window Envelope |
1000 |
|
|
DENTAL
CLAIM FORMS
| Form
# |
Description |
Quantity
Per Case |
Type |
Order |
| 870 |
ADA
Dental Claim Form Laser Cutsheet Blue Ink (1987) |
2500 |
Laser |
|
| 871 |
ADA
Dental Claim Form 1-part continuous Blue(1987) |
2500 |
Laser |
|
|
|
|
|
|
| 1941 |
ADA
Dental Claim Form 1-Part Continuous Teal Ink (1994) |
2500 |
Tractor |
|
| 1942 |
ADA
Dental Form 2-Part Continuous Teal Ink (1994) |
1000 |
Tractor |
|
|
Shipping - Please
select Insurance Forms Checkout form |
| 1-2
Cartons |
$ 12
(All are UPS Ground - Allow 4 Business days) |
| 3-4
Cartons |
$ 24 |
| 5-7
Cartons |
$ 35 |
| 8-12
Cartons |
$ 45 |
|
;
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