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Medical & Insurance Forms - 171 - Page 3 - Mega Sale! Save up to 27%


Mega Sale! Up to 27% off on Medical & Insurance Forms at Medical Service, Page 3. Top brands include Salemax, Jaxplaza, Tabbies, Next Day Labels, The Filing Supplies Shop, DiscountTaxForms, AMZfiling, EGPChecks, ComplyRight, TFP, Prime Business Checks, Park Forms, & Blue Summit Supplies. Hurry! Limited time offers. Offers valid only while supplies last.



CMS 1500 / HCFA 1500 Medical Billing forms (50 Sheets)
CMS 1500 / HCFA 1500 Medical Billing forms (50 Sheets)
By Salemax
In Stock
$12.99

mpn: CMS1500-50,

4.5 out of 5 stars with 284 reviews
Jam free bond paper for jam-free performance and are printed in OCR-scannable red ink. All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form.Version 08/05, soon to be discontinue. Providers will need to check with their payer(s) and/or clearinghouses to determine when they will stop using this Version. 1 Part Laser (50 Single Sheets - for Laser/Inkjet Printers). Accommodates reporting of the National Provider Identifier (NPI) number.


1000 HCFA - CMS 1500 Medical Billing Claim Forms, 2 Part Continuous
1000 HCFA - CMS 1500 Medical Billing Claim Forms, 2 Part Continuous
By Jaxplaza
In Stock
$79.99

ean: 0046552061526,

4.9 out of 5 stars with 291 reviews
02/12 version still pending approval. This is the latest and newest CMS1500 forms you can get.1000 CMS1500 forms (2 Part Continuous) for Pinfeed or Dot-Matrix. Approved CMS 1500 Form (08/05) OMB0938-099. HCFA 1500 and CMS 1500 are the same forms. CMS 1500 is the new name, 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.


Blue English/Spanish Confidential Patient Sign-In Forms, 8-1/2'' x 11'', 23 Peel Off Label Sign In Lines (125 Forms/Pack)
Blue English/Spanish Confidential Patient Sign-In Forms, 8-1/2" x 11", 23 Peel Off Label Sign In Lines (125 Forms/Pack)
By Tabbies
In Stock
$37.85

mpn: 14541,

4.7 out of 5 stars with 132 reviews
HIPAA Compliant bilingual confidential patient sign-in sheet forms with peel of labels. The forms are bilingual accommodating English and Spanish speaking patients. 8.5'' x 11'' forms with 23 peel off labels used to keep patient sign in logs confidential. Once completed the special backer has a complete log of the patient visits for the day. Blue color background with fields for name, arrival time, appointment time, appointment with, new patient check box and change of address, phone and


Patients Sign In, 8-1/2'' X 11'' (Blue) Carbonless Form (Sample Pack of 10 Sheets) HIPAA Compliant.
Patients Sign In, 8-1/2" X 11" (Blue) Carbonless Form (Sample Pack of 10 Sheets) HIPAA Compliant.
By Jaxplaza
In Stock
$14.95

mpn: HIPAASIGNINWPSGN, ean: 0064547070575,

4.7 out of 5 stars with 235 reviews
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!10 sheets accommodates 250 patient visits (Packed in a Manilla Folder). Meet the privacy and confidentiality requirements of HIPAA. Two-part carbonless


CMS 1450 / UB04 Medical Billing Forms (50 Sheets)
CMS 1450 / UB04 Medical Billing Forms (50 Sheets)
By Salemax
In Stock
$12.99

mpn: CMS1450-50,

4.6 out of 5 stars with 170 reviews
Carbonless bond paper for jam-free performance and are printed in OCR-scannable red ink. All forms are government approved CMS-1450 (UB04) to serve federal programs and private insurers as a universal claim form.1 Part Laser (50 Single Sheets - for Laser/Inkjet Printers). Meets all Government Standards. Accommodates reporting of the National Provider Identifier (NPI) number.


UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11 500 Per Pack
UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11 500 Per Pack
By Next Day Labels
In Stock
$25.99
$18.99
You Save: 27%

mpn: UB-04, ean: 0646437700320,

4.2 out of 5 stars with 54 reviews
Pack of 500UB-04 (CMS 1450) Health Insurance Claim Form. Laser / Ink-JetFormat. 1 Part 24# 8-1/2 x 11 (Letter Size). Accommodates reporting of the National Provider Identifier (NPI) number. 100% compliant with the approved update to the HCFA / CMS1450 health claim form.


UB-04 Hospital Claim Form Laser-Cut Sheet (2,500/case)
UB-04 Hospital Claim Form Laser-Cut Sheet (2,500/case)
By The Filing Supplies Shop
In Stock
$59.99

mpn: UB04LC,

4.9 out of 5 stars with 99 reviews
UB-04 Hospital Claim Form Laser-Cut Sheet (2,500/case) Printed in OCR red ''dropout'' ink 20# Environmental Paper Alliance (EPA) Recycled Paper (White) 2,500/case.


UB-04 (CMS 1450) Health Insurance Claim Form (Pack of 500 sheets)
UB-04 (CMS 1450) Health Insurance Claim Form (Pack of 500 sheets)
By DiscountTaxForms
In Stock
$19.18
$19.11
4.7 out of 5 stars with 111 reviews
UB-04 (CMS 1450) Health Insurance Claim Form. Sold In Packs of 500qty.


AMZfiling Dental Medical History Form (100/Package)
AMZfiling Dental Medical History Form (100/Package)
By AMZfiling
In Stock
$21.31

mpn: 27011, ean: 0041898207614,

4.8 out of 5 stars with 201 reviews
Collect dental health history information from your patients. Comes with 2 pre-punched holes for easy filing.Detailed medical and dental condition questions, previous dental treatments and more. Unique color coded design makes it easy to find the right document. Printed both sides in light blue. 8-1/2'' W x 11'' H.


EGP UB-04 Hospital Claim Form
EGP UB-04 Hospital Claim Form
By EGPChecks
In Stock
$34.99

mpn: UB04CF,

4.0 out of 5 stars with 266 reviews
Item Number UB04CF The UB04 Hospital Claim Form contains a number of improvements and enhancements that include better alignment with the electronic HIPAA ASC X12N 837-Institutional Transaction Standard The UB04 paper billing form will be able to accommodate the reporting of the National Provider Identifier (NPI) Number. The NPI will be a single provider identifier, replacing the different provider identifiers healthcare systems currently use for each health plan with which you do business. The


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

mpn: HIPAASIGNINWPSGN, ean: 0079639075901,

4.4 out of 5 stars with 75 reviews
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!125 sheets accommodates 3,125 patient visits. Meet the privacy and confidentiality requirements of HIPAA. Two-part carbonless sign-in sheets. Allows


ComplyRight CMS 1500 Healthcare Billing Form - 02/12, Laser, 2500-Count (CMS12LC)
ComplyRight CMS 1500 Healthcare Billing Form - 02/12, Laser, 2500-Count (CMS12LC)
By ComplyRight
In Stock
$64.99
$52.86
You Save: 19%

mpn: CMS12LC,

4.5 out of 5 stars with 24 reviews
Satisfy recordkeeping requirements with cms-1500 Health insurance claim forms. Per Federal regulations, all healthcare providers must use the cms-1500 form for specific types of billing. The cms-1500 accommodates reporting of the National provider identifier, which must be used by all HIPAA-Covered entities. Laser-cut sheet 2,500 per case printed with OCR ''Dropout'' Red ink on 201# paper, as per government regulationsRequired for healthcare providers to bill a patient's insurance company for


UB-04 Hospital Claim Form Laser-Cut Sheet (1,000/case)
UB-04 Hospital Claim Form Laser-Cut Sheet (1,000/case)
By The Filing Supplies Shop
In Stock
$32.79

mpn: UB04LC1,

4.7 out of 5 stars with 216 reviews
UBO4 Medical claim forms have replaced the UB92 forms and are used by hospitals, clinics, laser surgery centers, and ambulatory surgery centers to bill medical insurance claims to the insurance carriers.UB04 / CMS 1450 Medical Claim Forms, 500 Single Sheets. These are the latest UB04 claim forms (also called CMS 1450 and formerly the UB92 form). This is the latest/newest form that accommodates reporting of the National Provider Identifier (NPI) number. Meets all Government Standards.


UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11'' (500)
UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11" (500)
By Next Day Labels
In Stock
$19.99
$18.99
You Save: 5%

mpn: UB04-500,

4.6 out of 5 stars with 49 reviews
These UB-04 Hospital Insurance Claim forms is made in the USA by Next Day Labels, UB04 forms are used by Hospitals, Medicals etc. to file claims to the insurance companies, These UB-04 is the newest version that accommodates reporting of the National Provider Identifier (NPI) number, These UB-04 forms are made to replace the UB-92 forms., Pack of 500 Sheets - will work for any Laser, Ink Jet PrinterUB-04 (CMS 1450) Health Insurance Claim Form - Pack of 500 Sheets. Laser / Ink-JetFormat / 1 Part


For Handwritten Use - CMS 1500 / HCFA 1500 Medical Billing Forms (CMS12S) - 500 Sheets
For Handwritten Use - CMS 1500 / HCFA 1500 Medical Billing Forms (CMS12S) - 500 Sheets
By TFP
In Stock
$44.46

mpn: CMS12S, ean: 0609015501191,

4.2 out of 5 stars with 197 reviews
For Handwritten Use Only - CMS 1500 / HCFA 1500 Medical Billing Forms. 500 Sheets, 2-part Carbonless (NCR) Printed in OCR-scannable red ink. 02/12 Version. Meets All Government Standards.FOR HANDWRITTEN USE ONLY - CMS 1500 / HCFA 1500 Medical Billing Forms (CMS12S). 500 Single Sheets - 2 Part Handwritten. Meets All Government Standards / Accommodates NPI Number. 02/12 Version - For Handwritten Claims Only. 2 Part Carbonless (NCR) Paper - Provides Users with Duplicate Copy.


CMS-1500 Laser Printer Medical Claims Form - 2500 sheets
CMS-1500 Laser Printer Medical Claims Form - 2500 sheets
By Jaxplaza
In Stock
$45.99

mpn: CMS1500-Reveised 02/12, ean: 0053926153237,

4.8 out of 5 stars with 116 reviews
Item Number 1500NC This form accommodates the reporting of the National Provider Identifier (NPI). Printed in red ink on special bond paper in strict compliance with NUCC and CMS regulations and specifications. These claim forms (formerly HCFA-1500) are used to submit health insurance claims for services provided by health care professionals to Medicare and Medicaid, insurance companies or clearinghouses for processing. Printed in red ink on special bond paper in strict compliance with


CMS 1500 Claim Forms ''NEW'' HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets
CMS 1500 Claim Forms "NEW" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets
By Prime Business Checks
In Stock
$15.98
$15.84

mpn: 3973412, ean: 0710473507035,

4.0 out of 5 stars with 280 reviews
CMS 1500 Claim Forms ''NEW'' HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet: Satisfy the NEW medical billing requirements with compliant CMS-1500 forms. * Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims. * CMS-1500 (version 02/12) replaces form (version 08/05). * Forms must adhere to strict printing standards that govern the layout, paper and ink. * Each form must have accurate content and conform to the Health Insurance


AMZfiling Patient Sign in Sheet (Green)- HIPAA Compliant, 250/Package
AMZfiling Patient Sign in Sheet (Green)- HIPAA Compliant, 250/Package
By AMZfiling
In Stock
$38.93

mpn: 18229, ean: 0041898205740,

4.3 out of 5 stars with 240 reviews
Protect patient privacy and improve record keeping for daily office visits. After patients sign in, simply remove the numbered label strip and file it away into the patient's chart. The carbon sheet transfers names to the back sheet so other patients do not see the previous patient's information.Over 5.5k patient visits accounted for. Each entry is a private label that is used for client folders. Each sheet contains a second confidential copy of the entry. HIPAA approved. 8-1/2'' W x 11'' H.


Park Forms HCFA CMS 1500 Claim Forms (Version 02/12), Medical Insurance, 8-1/2'' X 11'' - 500 Sheets
Park Forms HCFA CMS 1500 Claim Forms (Version 02/12), Medical Insurance, 8-1/2" X 11" - 500 Sheets
By Park Forms
In Stock
$13.07

mpn: Abc2, ean: 0635341344195,

4.6 out of 5 stars with 123 reviews
The Version 02/12 500 Sheets APPROVED HCFA CMS 1500 healthcare forms (02/12) are designed for all federal health insurance claims and private healthcare organizations. The CMS healthcare forms are required to speed up Bills claims processing to a Patient's Insurance Company for Reimbursements Of Medical Claims. Park Forms offers 500 Sheets of the most up to date CMS claim forms required to receive reimbursements for clients. APPROVED OMB-0938-1197HCFA CMS 1500 healthcare forms Our New Version


500 CMS-1500 Claim Forms - Current HCFA 02/2012 Version ''New Version''- Forms will line up with billing software and Laser Compatible- 500 Sheets - 8.5'' x 11
500 CMS-1500 Claim Forms - Current HCFA 02/2012 Version "New Version"- Forms will line up with billing software and Laser Compatible- 500 Sheets - 8.5'' x 11
By Blue Summit Supplies
In Stock
$16.49

mpn: FBA_BSS-92588-302, ean: 0869643000361,

4.1 out of 5 stars with 110 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



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