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Medical & Insurance Forms - 171 - Page 4 - Super Savings! Save up to 36%


Super Savings! Up to 36% off on Medical & Insurance Forms at Medical Service, Page 4. Top brands include ParisBusPr, Adams, Tops, MOT4, Salemax, Paris Business, Formsandchecks, Jaxplaza, twiHealthcare, TOP, Covidien, & A Plus. Hurry! Limited time offers. Offers valid only while supplies last.



Ub04 Insurance Claim Form, 1-Part Continuous White, 9 1/2 X 11, 2500 Forms
Ub04 Insurance Claim Form, 1-Part Continuous White, 9 1/2 X 11, 2500 Forms
By ParisBusPr
In Stock
$165.60

mpn: 05109,

4.6 out of 5 stars with 158 reviews
Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. Form Size: 9 1/2 x 11; Forms Per Page: 1; Form Quantity: 2500; Sheet Size: 9 1/2 x 11.Includes 2,500 forms..Expedite Medicare, Medicaid or private insurance claims processing.. Forms meet all Federal regulations.. Formerly known as HCFA-1500 forms..


Adams Health Insurance Claim Forms, Continuous, 9.5 x 11 Inches, White, 2-Part, 100 Sets (CMS1500C)
Adams Health Insurance Claim Forms, Continuous, 9.5 x 11 Inches, White, 2-Part, 100 Sets (CMS1500C)
By Adams
SKU: #ABFCMS1500C
In Stock
$1,591.41

sku: ABFCMS1500C, mpn: CMS1500C, ean: 0087958315004,

4.6 out of 5 stars with 247 reviews
Adams Business Forms provide the tools to help keep track of messages, finances, transactions, employees, taxes, and customers to businesses throughout the world. These products are the perfect way to create and maintain a professional image for small businesses and service providers. Adams Health Insurance Claim Forms are approved by the AMA and the National Uniform Claim Committee. These continuous, 2-part forms are printed in OCR Red for scanning with a white/white paper sequence. The


TOPS HCFA Claim Forms Without Sensor Bar
TOPS HCFA Claim Forms Without Sensor Bar
By Tops
In Stock
$128.10

mpn: 50124, ean: 0025932501241,

4.3 out of 5 stars with 69 reviews
Claim Form - Sheet(s).


Ub04 Claim Forms, 2 Part Continuous White/canary, 9 1/2 X 11, 1000 Forms
Ub04 Claim Forms, 2 Part Continuous White/canary, 9 1/2 X 11, 1000 Forms
By MOT4
In Stock
$192.49
$175.55
You Save: 9%

mpn: PRB05110, ean: 0090146051103,

4.2 out of 5 stars with 40 reviews
Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.Sold as 1000/CT. Expedite Medicare, Medicaid or private insurance claims processing.. Forms meet all Federal regulations.. Formerly known as HCFA-1500 forms..


TOPS CMS-1500 Health Insurance Claim Forms, 1-Part, Continuous, 9.5 x 11 Inches, 3000 Sheets per Carton (50122RV)
TOPS CMS-1500 Health Insurance Claim Forms, 1-Part, Continuous, 9.5 x 11 Inches, 3000 Sheets per Carton (50122RV)
By Tops
In Stock
$104.15
$96.10
You Save: 8%

mpn: 50122RV, ean: 0025932512209,

4.5 out of 5 stars with 27 reviews
TOPS CMS-1500 Health Insurance Claim Forms are approved by the National Uniform Claim Committee (NUCC) and the OMB. These 1-part, continuous forms are printed in red OCR ink on white 20# paper. They measure 9.5 x 11 inches and have a detached size of 8.5 x 11 inches. There are 3000 forms per carton. This version (02/12) is for use beginning January 6, 2014. Since 1952, TOPS has provided quality products and services to businesses throughout the world. TOPS continues that commitment providing


5000 Sheets, CMS-1500 Claim Forms, CMS 1500 Billing forms
5000 Sheets, CMS-1500 Claim Forms, CMS 1500 Billing forms
By Salemax
In Stock
$107.99

ean: 0073476020179,

4.9 out of 5 stars with 235 reviews
Please note: 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...... Do not ship to Alaska, Hawaii, Puerto Rico or PO BoxesCarbonless bond paper for jam-free performance. Printed in OCR-scannable red ink (Front and Back). All forms are government approved. NEW CMS 1500 Forms (08/05) For Laser or Inkjet Printers. APPROVED OMB 0938-0999 FORM CMS-1500.


UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms, Sold as 2 Carton, 2500 Each per Carton
UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms, Sold as 2 Carton, 2500 Each per Carton
By Tops
In Stock
$139.99

mpn: OC753729, ean: 0640947537292,

4.6 out of 5 stars with 83 reviews
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.UB04 hospital insurance claim form.. Printed to Government Printing Office standards.. OCR ink for scanning.. American Medical Association (AMA) approved format..


UB04 Claim Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 Forms, Sold as 2 Carton, 2500 Sheet per Carton
UB04 Claim Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 Forms, Sold as 2 Carton, 2500 Sheet per Carton
By Paris Business
In Stock
$334.99
$334.60

mpn: OC753520, ean: 0640947535205,

4.3 out of 5 stars with 43 reviews
Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.Government regulated health insurance forms.. Expedite Medicare, Medicaid or private insurance claims processing.. Forms meet all Federal regulations.. Formerly known as HCFA-1500 forms..


CMS 1500 Claim Forms ''ICD-10'' HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 5,000 Sheets
CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 5,000 Sheets
By Formsandchecks
In Stock
$109.99

mpn: 6506,

4.5 out of 5 stars with 213 reviews
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 OCR ''dropout'' red ink on 20lb. paper (per government regulations)..Version 02/12,. Accommodates reporting of the National Provider Identifier (NPI) number and the new ICD-10. 5000 Single Sheets for laser / Inkjet Printers. Jam-free performance Paper are printed in OCR-scannable red ink.


8-1/2'' X 11'' Patients Sign In, (Blue) Carbonless Form (Lot of 250 Sheets) HIPAA Compliant.
8-1/2" X 11" Patients Sign In, (Blue) Carbonless Form (Lot of 250 Sheets) HIPAA Compliant.
By Jaxplaza
In Stock
$134.99

mpn: HIPAASIGNINWPSGN, ean: 0071896999099,

4.8 out of 5 stars with 149 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!250 sheets accommodates 6,260 patient visits. Meet the privacy and confidentiality requirements of HIPAA. Two-part carbonless sign-in sheets. Allows


Patient Sign-in Sheets, Bilingual 8-1/2'' X 11'' (Blue) Carbonless Form (Lot of 875 Sheets) HIPAA Compliant
Patient Sign-in Sheets, Bilingual 8-1/2" X 11" (Blue) Carbonless Form (Lot of 875 Sheets) HIPAA Compliant
By twiHealthcare
In Stock
$209.95

mpn: TWI-WPSGN-BIL,

4.1 out of 5 stars with 56 reviews
Each patient prints his/her name, appt time/arrival time, appointment with and if they're a new patient or if there are any changes in the phone, address or insurance since the last visit. Once the label has been removed, the information is protected behind part one, available only for office use.BUY MULTIPLE ITEMS AND SAVE ON SHIPPING!----ORDER BEFORE 2:00 PM est (M-F) SHIPS SAME DAY!. 875 sheets accommodates 21,875 patient visits. Meet the privacy and confidentiality requirements of HIPAA.


Wholesale CASE of 10 - Tops CMS-1500 Laser Claims Forms w/o Sensor-CMS Claim Form,f/Laser Printers,8-1/2''x11'',500SH/PK,WE
Wholesale CASE of 10 - Tops CMS-1500 Laser Claims Forms w/o Sensor-CMS Claim Form,f/Laser Printers,8-1/2"x11",500SH/PK,WE
By TOP
In Stock
$139.99

mpn: SPRICHAVE48266PAS, ean: 0025932501265,

4.9 out of 5 stars with 192 reviews
CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Front and back are printed in red OCR ink on white 20 lb. bond without sensor bar. Forms are compatible with laser printers.Tops. Tops CMS-1500 Laser Claims Forms w/o Sensor. SPRICHAVE48266PAS.


TOPS 50124RV Centers for Medicare and Medicaid Services Forms, Two-Part (Case of 1500 Forms)
TOPS 50124RV Centers for Medicare and Medicaid Services Forms, Two-Part (Case of 1500 Forms)
By Tops
In Stock
$149.00
$96.05
You Save: 36%

mpn: TOP50124RV, ean: 0088037863447,

4.4 out of 5 stars with 29 reviews
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.Centers for Medicare and Medicaid Services (CMS) claim form without sensor bar.. CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.. OCR red ink for scanning..


NEW CMS 1500 Claim Forms - 6,000 Sheets (02/12 Version) for Laser or Inkjet Printers By Jaxplaza
NEW CMS 1500 Claim Forms - 6,000 Sheets (02/12 Version) for Laser or Inkjet Printers By Jaxplaza
By Jaxplaza
In Stock
$130.04

mpn: CMS15006000shts0212, ean: 0044386027961,

4.6 out of 5 stars with 72 reviews
02/12 Version. (6,000 Sheets) The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare organizations. Payers will begin to accept these forms starting January 6th, 2014. And will only accept this version as of Oct 1st, 2015APPROVED OMB-0938-1197 (Version 02/12). 1-Part Laser Form CMS-1500 printed in red ink. For Laser and Inkjet Printers. Size: 8-1/2'' X 11''; Weight: 24# Paper. 6,000 Sheets.


CMS 1450 / Ub04 Medical Billing Forms (5000 Sheets)
CMS 1450 / Ub04 Medical Billing Forms (5000 Sheets)
By Salemax
In Stock
$149.99

mpn: CMS1450-5000,

4.1 out of 5 stars with 147 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 (5000 Single Sheets - for Laser/Inkjet Printers). Meets all Government Standards. Accommodates reporting of the National Provider Identifier (NPI) number. Factory Sealed.


CMS 1450 / Ub04 Medical Billing Forms (2500 Sheets) by Salemax
CMS 1450 / Ub04 Medical Billing Forms (2500 Sheets) by Salemax
By Salemax
In Stock
$157.41

mpn: na, ean: 0793187550474,

4.6 out of 5 stars with 138 reviews
1 Part Laser (2500 Single Sheets - for Laser/Inkjet Printers);Meets all Government Standards;Accommodates reporting of the National Provider Identifier (NPI) number;Factory SealedCMS 1450 / Ub04 Medical Billing Forms (2500 Sheets).


COVIDIEN/MEDICAL SUPPLIES IN-ROOM CONTAINERS WITH MAILBOX-STYLE LIDS Sharps Container, Clear, Mailbox-Style Lid, 5 Qt, 11''H x 4¾''D x 10¾''W, 20/cs
COVIDIEN/MEDICAL SUPPLIES IN-ROOM CONTAINERS WITH MAILBOX-STYLE LIDS Sharps Container, Clear, Mailbox-Style Lid, 5 Qt, 11"H x 4¾"D x 10¾"W, 20/cs
By Covidien
In Stock
$100.59

mpn: KND85121,

4.9 out of 5 stars with 146 reviews
Covidien SharpSafety Sharps Container, Clear, Mailbox-Style Lid, 5 Qt, 11''H x 4 3/4''D x 10 3/4''W, 20/CS. Mailbox-style lid can be kept closed when container is not in use. Economical horizontal drop maximizes container volume. Containers lock for final.


TOPS CMS-1500 Health Insurance Claim Forms, 2-Part Carbonless, Continuous, 9.5 x 11 Inches, 1500 Sheets per Carton (50124RV)
TOPS CMS-1500 Health Insurance Claim Forms, 2-Part Carbonless, Continuous, 9.5 x 11 Inches, 1500 Sheets per Carton (50124RV)
By Tops
In Stock
$103.95
$79.02
You Save: 24%

mpn: 50124RV, ean: 0025932512407,

4.2 out of 5 stars with 52 reviews
TOPS CMS-1500 Health Insurance Claim Forms are approved by the National Uniform Claim Committee (NUCC) and the OMB. These 2-part, carbonless, continuous forms are printed in red OCR ink on white 20# paper. They measure 9.5 x 11 inches and have a detached size of 8.5 x 11 inches. There are 1500 forms per carton. This version (02/12) is for use beginning January 6, 2014. Since 1952, TOPS has provided quality products and services to businesses throughout the world. TOPS continues that commitment


Buyers Guide 2 Part - English - Adhesive Tape 1000 Qty. (8250-17) (T10RACK)
Buyers Guide 2 Part - English - Adhesive Tape 1000 Qty. (8250-17) (T10RACK)
By A Plus
In Stock
$145.00

mpn: BG8250,

4.5 out of 5 stars with 279 reviews
Our 2 part Buyers Guides have 2 check boxes for ''As-Is No Warranty'' or ''Warranty''. See second image for layout of back of form that has area for customer signature to acknowledge information on the Buyers Guide. Quantity is 1000.7 1/3'' x 11 3/4'' 2 Sided Buyers Guide. 2 Part NCR (no carbon) black ink on front, gray ink on back. 2 Strips of adhesive tape, top and bottom, for secure application to inside of car window. Quantity is 1000.



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