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Medical & Insurance Forms - Page 4 - Blowout Sale! Save up to 58%


Blowout Sale! Up to 58% off on Medical & Insurance Forms at Summit Fellowship, Page 4. Top brands include Tops, AMZfiling, twiHealthcare, Salemax, Jaxplaza, Next Day Labels, Wilmer, Compuchecks, Adams, EGPChecks, ComplyRight, The Filing Supplies Shop, Barrington Equipment & Supply, Prime Business Checks, AMS Printing, The Business Form Supplies Shop, & Park Forms. Hurry! Limited time offers. Offers valid only while supplies last.



TOPS CMS-1500 Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 250 Sheets per Pack (50135RV)
TOPS CMS-1500 Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 250 Sheets per Pack (50135RV)
By Tops
In Stock
$23.44
$9.80
You Save: 58%

mpn: 50135RV, ean: 0025932513503,

4.9 out of 5 stars with 63 reviews
The TOPS CMS-1500 Health Insurance Claim Form is the standard paper claim form used to bill Medicare Fee-For-Service (FFS) Contractors when a paper claim is allowed. It is approved by the National Uniform Claim Committee (NUCC) and the Office of Mana...


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

mpn: 18228, ean: 0041898205733,

4.1 out of 5 stars with 40 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 patient...


WHCF10ENV - ICD-10 Medical Claim Form Envelope - Small Gummed Right Window (1000 Ct)
WHCF10ENV - ICD-10 Medical Claim Form Envelope - Small Gummed Right Window (1000 Ct)
By twiHealthcare
In Stock
$40.50

mpn: WHCF10ENV, ean: 0747180357035,

4.0 out of 5 stars with 80 reviews
Small gummed-seal inside tint Medical Claim Form envelope with inside tint. Size is 9-1/2" x 4-1/8". Window size is 4 1/2" x 1-1/8". Window location is 4" from left and 1-5/8" from bottom.BUY MULTIPLE ITEMS AND SAVE ON SHIPPING!----ORDER BEFORE 2:00 ...


CMS 1500 / Hcfa 1500 Medical Billing Forms (5000 Sheets)
CMS 1500 / Hcfa 1500 Medical Billing Forms (5000 Sheets)
By Salemax
In Stock
$111.00

mpn: CMS1500-2500,

4.3 out of 5 stars with 81 reviews
Carbonless 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.1 Part Laser (5000 Single Sheets - for Laser/...


NEW CMS 1500 Claim Forms - 500 Sheets (02/12 Version) for Laser or Inkjet Printers
NEW CMS 1500 Claim Forms - 500 Sheets (02/12 Version) for Laser or Inkjet Printers
By Jaxplaza
In Stock
$18.00
$16.08
You Save: 11%

mpn: 1,

4.4 out of 5 stars with 12 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) ...


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,

4.9 out of 5 stars with 82 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 / CMS145...


CMS-1500CS-12 Health Insurance Claim Forms
CMS-1500CS-12 Health Insurance Claim Forms
By Wilmer
In Stock
$23.95

mpn: WCMS-1500CS-12, ean: 0700115996235,

4.0 out of 5 stars with 20 reviews
1-Part Laser Form CMS-1500 printed in red ink New Version 02/12 Size: 8-1/2" X 11" For Laser and Inkjet Printers 500 sheets per pack...


NEW CMS 1500 Claim Forms - HCFA (Version 02/12) (500 Sheets)
NEW CMS 1500 Claim Forms - HCFA (Version 02/12) (500 Sheets)
By Compuchecks
In Stock
$15.97

mpn: 7106, ean: 0090146171061,

4.0 out of 5 stars with 132 reviews
The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare organizations. These preprinted and cut size forms speed up claims processing. New Version 02/12: Medicare...




Two-Sided Dental Icon Design Registration & History Form
Two-Sided Dental Icon Design Registration & History Form
By EGPChecks
In Stock
$52.11

mpn: 4065S,

4.8 out of 5 stars with 137 reviews
Item Number 4065S (Replacement Item Number 4065) Capture personal data, insurance information, medical history and more with a colorful, patient-friendly form Size: 8 1/2 x 11 Durable forms 2-sided format 28 pound ledger stock Lined sheet accommodate...


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
$56.04
You Save: 14%

mpn: CMS12LC,

4.3 out of 5 stars with 149 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 id...


For Handwritten Only. CMS 1500 / Hcfa 1500 Medical Billing Forms (10 Sheets) Sample Pack.
For Handwritten Only. CMS 1500 / Hcfa 1500 Medical Billing Forms (10 Sheets) Sample Pack.
By Salemax
In Stock
$10.95

mpn: CMS1500hw-10,

4.2 out of 5 stars with 57 reviews
Carbonless bond paper 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.2 Part Hand Written (10 Single Sheets) Sample Pack. For Hand Written Claim...


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,

4.7 out of 5 stars with 36 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...


AMZfiling Dental Treatment Plan Form (100/Package)
AMZfiling Dental Treatment Plan Form (100/Package)
By AMZfiling
In Stock
$21.31

mpn: 27009, ean: 0041898207607,

4.9 out of 5 stars with 98 reviews
Record detailed patient history and treatment information. Each chart includes 2 pre-punched holes for easy filing.Records exam on a diagram with additional space to document plans, and completion dates. Unique color coded design makes it easy to fin...


HCFA CMS-1500 Insurance Form,  Package of 500 Sheets. 08/05 Version
HCFA CMS-1500 Insurance Form, Package of 500 Sheets. 08/05 Version
By Barrington Equipment & Supply
In Stock
$30.99

mpn: 15500CMS,

4.4 out of 5 stars with 143 reviews
APPROVED OMB-0938-0999 FORM CMS-1500 (08/05). New HCFA form accepted beginning 4/2/07. In stock and shipped same day as order.. ...


CMS 1500 Claim Forms - HCFA (Version 02/12) (1000 Sheets; Laser/Inkjet Printer)
CMS 1500 Claim Forms - HCFA (Version 02/12) (1000 Sheets; Laser/Inkjet Printer)
By Compuchecks
In Stock
$31.97

mpn: 6504,

4.2 out of 5 stars with 47 reviews
The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare organizations. These preprinted and cut size forms speed up claims processing. New Version 02/12: Medicare...


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,

4.6 out of 5 stars with 20 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 reimbursem...


HCFA/CMS 1500 claim forms. All forms are per HIPAA regulations. Form size is 8 1/2'' x 11''. Each package contains 500 white color stock sign-in forms and printed in Red ink.
HCFA/CMS 1500 claim forms. All forms are per HIPAA regulations. Form size is 8 1/2" x 11". Each package contains 500 white color stock sign-in forms and printed in Red ink.
By AMS Printing
In Stock
$94.96

mpn: 14540,

4.4 out of 5 stars with 136 reviews
HCFA/CMS 1500 claim forms. These are the high quality standard medical forms that work with your laser printer. Easy & simple to use. Accommodates NPI numbers per HIPAA regulations. Updated to 02/12 version approved by the NUCC (National Uniform Clai...


8-1/2'' x 11'' Patients Sign In, Side Stubs, 2 pt. Carbonless Form (Lot of 250)
8-1/2" x 11" Patients Sign In, Side Stubs, 2 pt. Carbonless Form (Lot of 250)
By The Business Form Supplies Shop
In Stock
$183.51

mpn: CAR23-85113,

4.4 out of 5 stars with 128 reviews
Confidentially sign in your patients! Each patient completes the next available line and removes the number to the left of the name. Patients can then wait to be called by either their name or their number. (Lot of 250).HIPPA Compliant (HIPPA Privacy...


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
$16.25

mpn: Abc2, ean: 0635341344195,

4.1 out of 5 stars with 48 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 Pat...



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