Medical & Insurance Forms - Blowout Sale! Save up to 78%


Blowout Sale! Up to 78% off on Medical & Insurance Forms at A to Z Medicine. Top brands include Salemax, Tops, Jaxplaza, A Plus, The Filing Supplies Shop, AMZfiling, HCF, Barrington Equipment & Supply, twiHealthcare, Adams, ParisBusPr, & Linco. Hurry! Limited time offers. Offers valid only while supplies last.



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

ean: 0073476020179,

4.7 out of 5 stars with 110 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.


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

mpn: 50124, ean: 0025932501241,

4.5 out of 5 stars with 34 reviews
Claim Form - Sheet(s).


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 112 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


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

mpn: 59870R, ean: 0640206360197,

4.5 out of 5 stars with 111 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..


We Owe Form 100 Qty. SA-1506-3 - 3 Part Form (R76M)
By A Plus
In Stock
$21.50

mpn: SA-1506-3,

4.9 out of 5 stars with 93 reviews
We Owe Form - Get it in writing! List the items that will be replaced or repaired on a car that you still owe the customer for.Size: 9 1/4'' x 5 2/3''. Quantity: 100. 3-part, snap-out, varying length on part 2. Carbonless - 3 part: White, Canary, White. Prints in Blue and Red ink.


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

mpn: na, ean: 0793187550474,

4.9 out of 5 stars with 67 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).


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

mpn: UB04LC,

4.8 out of 5 stars with 87 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 Patient Sign in Sheet (Green)- HIPAA Compliant, 250/Package
By AMZfiling
In Stock
$38.93

mpn: 18229, ean: 0041898205740,

4.8 out of 5 stars with 54 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.


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 24 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


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,

4.2 out of 5 stars with 96 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.


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 132 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..


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,

4.2 out of 5 stars with 138 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 Health Insurance Claim Forms, HCFA Approved Version (02/12) - 500 Forms
By HCF
In Stock
$16.44

mpn: CM44-500, ean: 0605608561658,

4.8 out of 5 stars with 63 reviews
New CMS 1500 Health Insurance Claim Forms, HCFA Approved Version (02/12) - 500 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 100 LASER / INKJET FORMS.


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),

4.6 out of 5 stars with 99 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


Adams Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 250 per Pack (CMS1500L2V)
By Adams
In Stock
$22.96
$5.00
You Save: 78%

mpn: CMS1500L2V, ean: 0739197494742,

4.4 out of 5 stars with 104 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 250 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.


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

mpn: 05109,

4.8 out of 5 stars with 141 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..


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,

4.4 out of 5 stars with 143 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..


ADA Laser Cutsheet (2012) 20# (W) 2500/CT
By Linco
In Stock
$43.00

mpn: TFP1200, ean: 0617689755444,

4.9 out of 5 stars with 26 reviews
This is the latest version of the claim/attending dentist form. It's authorized by the American Dental Association (ADA). 100% compliant to meet ADA guidelines. 2,500 per case. Laser-Cut SheetSold as 2500/Case..


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

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

4.5 out of 5 stars with 105 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


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,

4.0 out of 5 stars with 124 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



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