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Medical & Insurance Forms - 171 - Page 2 - Super Savings! Save up to 35%


Super Savings! Up to 35% off on Medical & Insurance Forms at Medical Service, Page 2. Top brands include HCFA, twiHealthcare, Adams Business Forms, Tops, HCF, Adams, Jaxplaza, Highland, Blue Summit Supplies, Wesco, & Linco. Hurry! Limited time offers. Offers valid only while supplies last.



HCFA IF040 1450 UB04 Claim Form, Laser Cut, White/Red (Pack of 2500)
HCFA IF040 1450 UB04 Claim Form, Laser Cut, White/Red (Pack of 2500)
By HCFA
In Stock
$64.99

mpn: IF040, ean: 0687225254625,

4.7 out of 5 stars with 16 reviews
UB-04 Claim Form.Laser-cut. Printed in ''Drop-put'' red ink. 2500 Per Box.


Patient Sign-in Sheets, Bilingual 8-1/2'' X 11'' (Blue) Carbonless Form (Lot of 250 Sheets) HIPAA Compliant
Patient Sign-in Sheets, Bilingual 8-1/2" X 11" (Blue) Carbonless Form (Lot of 250 Sheets) HIPAA Compliant
By twiHealthcare
In Stock
$68.00

mpn: W-PSGN-BIL,

4.2 out of 5 stars with 63 reviews
HIPAA requires that healthcare practices take certain steps, and provides for steep penalties for those that do not comply. Our forms were created with the understanding that running a healthcare practice is a difficult job, and that added burdens practices can have serious negative effects. Best of all, the forms are easy to use, and will help meet the new federal requirements.BUY MULTIPLE ITEMS AND SAVE ON SHIPPING!----ORDER BEFORE 2:00 PM est (M-F) SHIPS SAME DAY!. 250 sheets accommodates


Check Payment/Deposit Register, 96 Pages, 8-1/2''x11'', White, Sold as 1 Each
Check Payment/Deposit Register, 96 Pages, 8-1/2"x11", White, Sold as 1 Each
By Adams Business Forms
In Stock
$32.99
$29.47
You Save: 11%

mpn: ABFAFR602PACK,

4.9 out of 5 stars with 60 reviews
Adams Business Forms : Check Payment/Deposit Register, 96 Pages, 8-1/2''x11'', White This register book offers an easy way to track and summarize expenses, payments and deposits. Includes bank reconciliation worksheet. Protective vinyl cover ensures record protection. Ready-to-use forms make accurate record-keeping easy. Designed with everyone from the corporate business traveler to the small business/home business owner in mind.:Manufactured by.: Adams Business FormsSold as .: 1 each. Adams


TOP50135R - CMS-1500 Claim Forms, 250 Pack
TOP50135R - CMS-1500 Claim Forms, 250 Pack
By Tops
In Stock
$17.13
$16.38
You Save: 4%

mpn: TOP50135RV, ean: 0025932501357,

4.3 out of 5 stars with 37 reviews
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 250; Principal Heading(s): 1500 Health Insurance Claim Form.Form Size - 8 1/2 x 11. Form Type - Insurance Claim. Format - Loose Form. Layout - One Form per Sheet. Paper Stock - 20-Lb. 250 Sheets to a pack.


UB04 / CMS-1450 Insurance Forms. 8-1/2 x 11 Inches, 2500 Forms
UB04 / CMS-1450 Insurance Forms. 8-1/2 x 11 Inches, 2500 Forms
By Tops
In Stock
$79.99

mpn: 59870R, ean: 0640206360197,

4.0 out of 5 stars with 74 reviews
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 2500; Layout: One Form per Sheet.Printed to Government Printing Office standards.. OCR ink for scanning.. American Medical Association (AMA) approved format..


New CMS 1500 Health Insurance Claim Forms, HCFA Approved Version (02/12) - Ream of 150 Forms
New CMS 1500 Health Insurance Claim Forms, HCFA Approved Version (02/12) - Ream of 150 Forms
By HCF
In Stock
$14.08

mpn: CMS 1500, ean: 0609015486023,

4.9 out of 5 stars with 48 reviews
New CMS 1500 Health Insurance Claim Forms, HCFA Approved Version (02/12) - Ream of 150 FormsNew Health Insurance Claim Forms, 2012 Approved Version. 1-Part 8-1/2'' X 11'' Laser Form CMS-1500, Printed in Red Ink. Required for Healthcare Providers to Bill Patients' Insurance Companies for Reimbursement. Latest HCF / CMS 1500 Claim Form (Approved OMB-0938-1197). REAM OF 150 LASER / INKJET FORMS.


New CMS 1500 - HCFA Insurance Claim Forms and Self-Seal No. 10-1/2 Tinted Window Envelopes - 100 FORMS AND ENVELOPES
New CMS 1500 - HCFA Insurance Claim Forms and Self-Seal No. 10-1/2 Tinted Window Envelopes - 100 FORMS AND ENVELOPES
By HCF
In Stock
$26.82

mpn: CMS 1500, ean: 0609015485613,

4.2 out of 5 stars with 139 reviews
New CMS 1500 - HCFA Insurance Claim Forms and Self-Seal No. 10-1/2 Tinted Window Envelopes - 100 FORMS AND ENVELOPESNew CMS 1500 - HCFA Insurance Claim Forms and Self-Seal No. 10-1/2 Window Envelopes. Size: No. 10-1/2, 4.5 x 9.5 inches. White with Inside Security Tint. Press and Stick Envelopes, Easy to Seal. Package of 100 Forms and Envelopes.


TOPS 50126RV Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11 (Pack of 500 Forms)
TOPS 50126RV Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11 (Pack of 500 Forms)
By Tops
In Stock
$24.99

mpn: TOP50126RV, ean: 0025932501265,

4.8 out of 5 stars with 205 reviews
Tops CMS-1500 8 1/2 x 11 Inch Claim Forms without Sensor Bar 500 PackCMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.. Top sensor bar for microfiche duplication, as required in some states.. OCR red ink for scanning..


Adams Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 100 per Pack (CMS1500L1V)
Adams Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 100 per Pack (CMS1500L1V)
By Adams
In Stock
$10.14

mpn: CMS1500L1V, ean: 0087958150018,

4.6 out of 5 stars with 77 reviews
Adams CMS-1500 Health Insurance Claim Forms are approved by the CMS, the National Uniform Claim Committee (NUCC) and the OMB. These quality forms are printed in OCR red ink for scanning and are for use with laser printers. Sheets measure 8.5 x 11 inches and come in 100 per pack. This version (02/12) is for use beginning January 6, 2014. Whether it's a multi-part form, notebooks, writing pads, record books, or any of the hundreds of items we offer, you can count on Adams products to help.


Confidential Patients Sign In Sheets, 8-1/2'' X 11'' (Blue) Bilingual - Carbonless Form (Lot of 125 Sheets) HIPAA Compliant.
Confidential Patients Sign In Sheets, 8-1/2" X 11" (Blue) Bilingual - Carbonless Form (Lot of 125 Sheets) HIPAA Compliant.
By Jaxplaza
In Stock
$69.99

mpn: HIPAASIGNINWPSGNBIL, ean: 0061684125168,

4.1 out of 5 stars with 72 reviews
Bilingual Sign-In Sheet. In English and Spanish. With one simple system, you're making one HIPAA privacy worry disappear. Meet the privacy and confidentiality requirements of HIPAA with these two-part carbon-less sign-in sheets. It allows patients to sign in without seeing the information of other patients. After patients sign in, labels peel off top of form, showing no protected information!English and Spanish (Bilingual). 125 sheets accommodates 3,125 patient visits. Meet the privacy and


CMS-1500 Laser Printer Medical Claims Form - 2,000 sheets
CMS-1500 Laser Printer Medical Claims Form - 2,000 sheets
By Highland
In Stock
$42.89

mpn: APPROVED OMB-0938-1197 FORM 1500 (02/12), ean: 0617689750579,

4.4 out of 5 stars with 50 reviews
This is the new approved form that Medicare accepts. Save more with this bundle of 2000 form sheets.NEW CMS 1500 Health Insurance Claim Forms (Approved 02/12) - 2000 SHEETS. 1-Part Laser Form CMS-1500 Printed in Red Ink. New Version 02/12 (APPROVED OMB-0938-1197). Size 8-1/2'' x 11'' for Laser and Inkjet Printers.


NEW CMS 1500 Claim Forms - HCFA (Version 02/12) - 1500 SHEETS
NEW CMS 1500 Claim Forms - HCFA (Version 02/12) - 1500 SHEETS
By Highland
In Stock
$35.19

mpn: APPROVED OMB-0938-1197 FORM 1500 (02/12), ean: 0617689750579,

4.6 out of 5 stars with 39 reviews
This is the new approved form that Medicare accepts. Save with this bundle of 1500 form sheets.NEW CMS 1500 Health Insurance Claim Forms (Approved 02/12) - 1500 SHEETS. 1-Part Laser Form CMS-1500 Printed in Red Ink. New Version 02/12 (APPROVED OMB-0938-1197). Size 8-1/2'' x 11'' for Laser and Inkjet Printers.


CMS 1500 Claim Forms ''ICD-10'' HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 2500 Sheets
CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 2500 Sheets
By twiHealthcare
In Stock
$45.99

mpn: WCMS-1500 (02/12),

4.7 out of 5 stars with 237 reviews
Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant. This form was revised to align the paper form with some of the changes in the electronic health care claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1). The most significant change was the addition of 8 diagnosis codes in field 21. Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems. Printed with


NEW 2500 CMS 1500 Claim Forms – Current HCFA 02/2012 Version (OMB-0938-1197)- Forms will line up with billing software and Laser Compatible- 2500 Sheets – 8.5’’ x 11
NEW 2500 CMS 1500 Claim Forms – Current HCFA 02/2012 Version (OMB-0938-1197)- Forms will line up with billing software and Laser Compatible- 2500 Sheets – 8.5’’ x 11
By Blue Summit Supplies
In Stock
$45.99

mpn: BSS-92588-306, ean: 0858213007022,

4.5 out of 5 stars with 285 reviews
CMS 1500 Forms that are compliant with all Government Standards CMS 1500 forms that are printed in the USA by US government authorized printers. These forms are completely compliant with CMS 1500 version 02/2012: All Fields, boxes, and Layout consistently line up perfectly for easy printing with billing software will no need to change settings Printed in Red Ink Per standards 1 Part forms that are Laser and InkJet Compatible All forms adhere to strict government standards developed by


2500 UB04- CMS 1450 Medical Billing Claim Forms, 1 Part Continuous
2500 UB04- CMS 1450 Medical Billing Claim Forms, 1 Part Continuous
By Jaxplaza
In Stock
$79.99

ean: 0046552016526,

4.7 out of 5 stars with 92 reviews
This is the latest and newest UB04 forms you can get.2500 UB04 forms (1 Part Continuous) for Pinfeed or Dot-Matrix. Approved CMS 1450 / UB04 Form OMB0938-0997. This is the latest/newest form that accommodates reporting of the National Provider Identifier (NPI) number. Jam-free performance and are printed in OCR-scannable red ink. Meets all Government Standards.


Adams CMS-1500 Health Insurance Claim Forms, 2-Part, Continuous, 9.5 x 11 Inches, 100 Sets per Pack (CMS1500CV)
Adams CMS-1500 Health Insurance Claim Forms, 2-Part, Continuous, 9.5 x 11 Inches, 100 Sets per Pack (CMS1500CV)
By Adams
In Stock
$19.94
$12.99
You Save: 35%

mpn: CMS1500CV, ean: 0087958150001,

4.0 out of 5 stars with 20 reviews
Adams CMS-1500 Health Insurance Claim Forms are approved by the CMS, the National Uniform Claim Committee (NUCC) and the OMB. These continuous, 2-part forms are printed in OCR red ink for scanning with a white/white paper sequence. The continuous format works with most dot matrix/pin-feed printers and typewriters. Sheets measure 9.5 x 11 inches with a detached size of 8.5 x 11 inches. There are 100 sets per pack. This version (02/12) is for use beginning January 6, 2014. Whether it's a




CMS 1500 - HCFA Window Envelopes for Claim Forms (No. 10-1/2) 4-1/2'' x 9-1/2'', White with Inside Security Tint - 50 ENVELOPES
CMS 1500 - HCFA Window Envelopes for Claim Forms (No. 10-1/2) 4-1/2" x 9-1/2", White with Inside Security Tint - 50 ENVELOPES
By Wesco
In Stock
$12.84

mpn: 3882, ean: 0609015485576,

4.3 out of 5 stars with 205 reviews
CMS 1500 - HCFA Window Envelopes for Claim Forms (No. 10-1/2) 4-1/2'' x 9-1/2'', White with Inside Security Tint - 50 ENVELOPESCMS 1500 - HCFA Window Envelopes for Claim Forms. Size: No. 10-1/2, 4.5 x 9.5 inches. White with Inside Security Tint. Moisten and Seal. Package of 50 Envelopes.


NEW CMS-1500 INSURANCE CLAIM FORMS, HCFA (Version 02/12) - 2 CASES (5000 SHEETS/FORMS)
NEW CMS-1500 INSURANCE CLAIM FORMS, HCFA (Version 02/12) - 2 CASES (5000 SHEETS/FORMS)
By Linco
In Stock
$88.84

mpn: HCFACS5000, ean: 0605608567810,

4.2 out of 5 stars with 95 reviews
NEW CMS-1500 INSURANCE CLAIM FORMS, HCFA (Version 02/12) - 2 CASES (5000 SHEETS/FORMS)1-Part Laser Form CMS-1500 printed in red ink - Quantity: 5000 Forms. New Version 02/12 (APPROVED OMB-0938-1197). Medicare Accepts Only This Version 02/12 Beginning 04/04/14.. Size: 8-1/2'' x 11''; Weight: 24lb Paper. Designed For Laser & Inkjet Printers.


CMS 1500 Claim Forms ''ICD-10'' HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 1000 Sheets
CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 1000 Sheets
By twiHealthcare
In Stock
$26.29
$24.95
You Save: 5%

mpn: WCMS-1500 (02/12),

4.5 out of 5 stars with 45 reviews
Look on our Amazon Store (TWIhealthcare) for ICD-10 envelopes and other products. Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant. This form was revised to align the paper form with some of the changes in the electronic health care claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1). The most significant change was the addition of 8 diagnosis codes in field 21. Includes new QR code identifier at the top



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