Medical & Insurance Forms - Page 3 - Super Savings! Save up to 35%


Super Savings! Up to 35% off on Medical & Insurance Forms at A to Z Medicine, Page 3. Top brands include Adams, Blue Summit Supplies, EGPChecks, Stockchecks, HCF, Jaxplaza, Compuchecks, ComplyRight, Highland, Paris Business, AMZfiling, Salemax, twiHealthcare, The Filing Supplies Shop, TFP, Prime Business Checks, & Tabbies. Hurry! Limited time offers. Offers valid only while supplies last.



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,

4.9 out of 5 stars with 63 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


New 2500 CMS 1500 Claim Forms – Current HCFA 02/2012 Version (OMB-0938-1197)- Forms Will line up with Billing Software and Laser Compatible- 2500 Sheets – 8.5’’ x 11
By Blue Summit Supplies
In Stock
$45.99

mpn: BSS-92588-306, ean: 0858213007022,

4.8 out of 5 stars with 123 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


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

mpn: UB04CF,

4.8 out of 5 stars with 31 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


CMS 1500 Claim Forms - HCFA (Version 02/12) 2,500 SHEETS, APPROVED OMB-0938-1197
By Stockchecks
In Stock
$45.99

mpn: SCWCMS-1500CS-12, ean: 0689732705904,

4.2 out of 5 stars with 66 reviews
The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare carriers / payers . These preprinted and cut size forms speed up claims processing. Version 02/122,500 Single Sheets - Printed in OCR red. (Version 02/12) APPROVED OMB-0938-1197. Size: 8-1/2'' X 11''; Weight: 24# Paper. For Laser and/or Inkjet Printers.


New CMS 1500 - HCFA Insurance Claim Forms and Self-Seal No. 10-1/2 Tinted Window Envelopes - 100 FORMS AND ENVELOPES
By HCF
In Stock
$26.82

mpn: CMS 1500, ean: 0609015485613,

4.6 out of 5 stars with 138 reviews
New CMS 1500 - HCFA Insurance Claim Forms and Self-Seal No. 10-1/2 Tinted Window Envelopes - 100 FORMS AND ENVELOPESNew CMS 1500 - HCFA Insurance Claim Forms and Self-Seal No. 10-1/2 Window Envelopes. Size: No. 10-1/2, 4.5 x 9.5 inches. White with Inside Security Tint. Press and Stick Envelopes, Easy to Seal. Package of 100 Forms and Envelopes.


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

mpn: HIPAASIGNINWPSGNBIL, ean: 0061684125168,

4.9 out of 5 stars with 13 reviews
Bilingual Sign-In Sheet. In English and Spanish. 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!English and Spanish (Bilingual). 125 sheets accommodates 3,125 patient visits. Meet the privacy and


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

mpn: 6508, ean: 0090146171061,

4.4 out of 5 stars with 33 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 will begin accepting this Version 02/12 on 1/06/14. Starting 04/04/14 Medicare will accept this Version 02/12 only.1-Part Laser Form CMS-1500 printed in red ink. New Version 02/12 (APPROVED OMB-0938-1197). Medicare began accepting this Version


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,

4.7 out of 5 stars with 122 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


CMS-1500 Laser Printer Medical Claims Form - 2,000 sheets
By Highland
In Stock
$42.89

mpn: APPROVED OMB-0938-1197 FORM 1500 (02/12), ean: 0617689750579,

4.4 out of 5 stars with 12 reviews
This is the new approved form that Medicare accepts. Save more with this bundle of 2000 form sheets.NEW CMS 1500 Health Insurance Claim Forms (Approved 02/12) - 2000 SHEETS. 1-Part Laser Form CMS-1500 Printed in Red Ink. New Version 02/12 (APPROVED OMB-0938-1197). Size 8-1/2'' x 11'' for Laser and Inkjet Printers.


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,

4.5 out of 5 stars with 17 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


Paris Business Products CMS Forms, 8-1/2" x 11", 250 Pack (PRB07104)
By Paris Business
In Stock
$16.99
$15.88
You Save: 7%

mpn: PRB07104, ean: 0090146171047,

4.2 out of 5 stars with 119 reviews
Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 250; Sheet Size: 8 1/2 x 11.Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.


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

mpn: 27011, ean: 0041898207614,

4.9 out of 5 stars with 8 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.


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

mpn: 27009, ean: 0041898207607,

4.7 out of 5 stars with 107 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 find the right document. Printed both sides in green. 8-1/2'' W x 11'' H.


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

mpn: CMS1450-50,

4.6 out of 5 stars with 29 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.


CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 2500 Sheets
By twiHealthcare
In Stock
$45.99

mpn: WCMS-1500 (02/12),

4.6 out of 5 stars with 63 reviews
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 of the form that supports and aligns with Industry scanning systems. Printed with


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

mpn: UB04LC1,

4.8 out of 5 stars with 22 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.


Adams CMS-1500 Health Insurance Claim Forms, 2-Part, Continuous, 9.5 x 11 Inches, 100 Sets per Pack (CMS1500CV)
By Adams
In Stock
$19.94
$12.99
You Save: 35%

mpn: CMS1500CV, ean: 0087958150001,

4.0 out of 5 stars with 119 reviews
Adams CMS-1500 Health Insurance Claim Forms are approved by the CMS, the National Uniform Claim Committee (NUCC) and the OMB. These continuous, 2-part forms are printed in OCR red ink for scanning with a white/white paper sequence. The continuous format works with most dot matrix/pin-feed printers and typewriters. Sheets measure 9.5 x 11 inches with a detached size of 8.5 x 11 inches. There are 100 sets per pack. This version (02/12) is for use beginning January 6, 2014. Whether it's a


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

mpn: CMS12S, ean: 0609015501191,

4.8 out of 5 stars with 20 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 Claim Forms"NEW" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 500 Sheets
By Prime Business Checks
In Stock
$24.99
$18.09
You Save: 28%

mpn: 3973412, ean: 0710473507035,

4.1 out of 5 stars with 143 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


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,

4.4 out of 5 stars with 141 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



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