NEW MEDICAL FORMS
Claim Forms
CMS-1500 (08/05) Health Care Claim Form
The CMS-1500 is the Universal Health Care Insurance Claim Form. The form is available in various styles and package sizes.
The most popular is the Laser Cut Sheet style which are individual single sheets for use in most laser or ink jet printers. Package sizes for the Laser Cut Sheet are:
25 Sheets - $14.95
50 Sheets - $19.95
100 Sheets - $29.95
250 Sheets - $34.95
500 Sheets - $39.95
1000 Sheets - $49.95
2500 Sheets - $59.95
Another available style is the 1-Part Continuous Pin Feed style which comes in either 1000 or 2500 sheets per package only. This style has perforated holes on each side for use in Pin Feed printers, which can then be torn off before mailing.
1000 Sheets - $49.95
2500 Sheets - $59.95
Also available is the 2-Part Continuous Pin Feed style which comes in either 1000 sheets per package only. This style has perforated holes on each side for use in Pin Feed printers, which can then be torn off before mailing. It also has a carbonless copy attached under the original copy.
1000 Sheets - $59.95
The CMS-1500 is the Universal Health Care Insurance Claim Form. The form is available in various styles and package sizes.
The most popular is the Laser Cut Sheet style which are individual single sheets for use in most laser or ink jet printers. Package sizes for the Laser Cut Sheet are:
25 Sheets - $14.95
50 Sheets - $19.95
100 Sheets - $29.95
250 Sheets - $34.95
500 Sheets - $39.95
1000 Sheets - $49.95
2500 Sheets - $59.95
Another available style is the 1-Part Continuous Pin Feed style which comes in either 1000 or 2500 sheets per package only. This style has perforated holes on each side for use in Pin Feed printers, which can then be torn off before mailing.
1000 Sheets - $49.95
2500 Sheets - $59.95
Also available is the 2-Part Continuous Pin Feed style which comes in either 1000 sheets per package only. This style has perforated holes on each side for use in Pin Feed printers, which can then be torn off before mailing. It also has a carbonless copy attached under the original copy.
1000 Sheets - $59.95
UB-04 Health Care Claim Form
The UB-04 is the Hospital / Institution Health Insurance Claim Form. The form is available in various styles and package sizes.
The most popular is the Laser Cut Sheet style which are individual single sheets for use in most laser or ink jet printers. Package sizes for the Laser Cut Sheet are:
25 Sheets - $14.95
50 Sheets - $19.95
100 Sheets - $29.95
250 Sheets - $34.95
500 Sheets - $39.95
1000 Sheets - $49.95
2500 Sheets - $59.95
Another available style is the 1-Part Continuous Pin Feed style which comes in either 1000 or 2500 sheets per package only. This style has perforated holes on each side for use in Pin Feed printers, which can then be torn off before mailing.
1000 Sheets - $49.95
2500 Sheets - $59.95
Also available is the 2-Part Continuous Pin Feed style which comes in either 1000 sheets per package only. This style has perforated holes on each side for use in Pin Feed printers, which can then be torn off before mailing. It also has a carbonless copy attached under the original copy.
1000 Sheets - $59.95
Important information about the revised CMS 1500 forms.
These are the new CMS-1500 forms. We guarantee these CMS 1500 forms to be 100% compliant with the new CMS regulations. Any CMS-1500 forms you order from us are 100% guaranteed to be accepted or your money back. Our forms pricing is competitive and we ship orders out within 24 hours. UPS ground shipping is standard, but we do offer expedited shipping options. We ship from any of our 5 national warehouse locations. Ordering forms can be done quickly and securely online. This is the fastest way to have your forms order processed and shipped. Ordering online is secure and it is safe. It's also easy. If you would prefer to phone, or fax your order to us, we are here to help. See the Contact Us section for our tolll-free phone number as well for fax and email contact information.
These are the new CMS-1500 forms. We guarantee these CMS 1500 forms to be 100% compliant with the new CMS regulations. Any CMS-1500 forms you order from us are 100% guaranteed to be accepted or your money back. Our forms pricing is competitive and we ship orders out within 24 hours. UPS ground shipping is standard, but we do offer expedited shipping options. We ship from any of our 5 national warehouse locations. Ordering forms can be done quickly and securely online. This is the fastest way to have your forms order processed and shipped. Ordering online is secure and it is safe. It's also easy. If you would prefer to phone, or fax your order to us, we are here to help. See the Contact Us section for our tolll-free phone number as well for fax and email contact information.