Medical & Insurance Forms - Page 4 - Mega Sale! Save up to 27%


Mega Sale! Up to 27% off on Medical & Insurance Forms at A to Z Medicine, Page 4. Top brands include Jaxplaza, Tops, twiHealthcare, Adams, Next Day Labels, A Plus, DiscountTaxForms, Blue Summit Supplies, Wesco, AMZfiling, Covidien, & TOP. Hurry! Limited time offers. Offers valid only while supplies last.



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,

4.2 out of 5 stars with 148 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.


TOP50135R - CMS-1500 Claim Forms, 250 Pack
By Tops
In Stock
$17.13
$16.38
You Save: 4%

mpn: TOP50135RV, ean: 0025932501357,

4.8 out of 5 stars with 7 reviews
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 250; Principal Heading(s): 1500 Health Insurance Claim Form.Form Size - 8 1/2 x 11. Form Type - Insurance Claim. Format - Loose Form. Layout - One Form per Sheet. Paper Stock - 20-Lb. 250 Sheets to a pack.


HIPAA - Notice of Privacy Practices Brochures
By twiHealthcare
In Stock
$24.95

mpn: NPP-7400, ean: 0747180357158,

4.8 out of 5 stars with 113 reviews
Inform your patients how important their privacy is to your practice, while helping you meet your HIPAA compliance responsibilities. Convenient Full Color Trifold Brochure. Notice of Privacy Practices HIPAA Trifold Brochure Z-fold/Tri-Fold brochure Notice of Privacy Practices.BUY MULTIPLE ITEMS AND SAVE ON SHIPPING!----ORDER BEFORE 2:00 PM est (M-F) SHIPS SAME DAY! Look on our Amazon Store (TWIhealthcare) for other products.. Space on front to add practice name. Describes how medical




Adams Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 100 per Pack (CMS1500L1V)
By Adams
In Stock
$10.14

mpn: CMS1500L1V, ean: 0087958150018,

4.1 out of 5 stars with 91 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 100 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.


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,

4.8 out of 5 stars with 111 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 / CMS1450 health claim form.


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

mpn: BG8250,

4.1 out of 5 stars with 64 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.


1000 HCFA - CMS 1500 Medical Billing Claim Forms, 2 Part Continuous
By Jaxplaza
In Stock
$79.99

ean: 0046552061526,

4.5 out of 5 stars with 110 reviews
02/12 version still pending approval. This is the latest and newest CMS1500 forms you can get.1000 CMS1500 forms (2 Part Continuous) for Pinfeed or Dot-Matrix. Approved CMS 1500 Form (08/05) OMB0938-099. 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. Jam-free performance and are printed in OCR-scannable red ink. Meets all Government Standards.


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

mpn: HIPAASIGNINWPSGN, ean: 0079639075901,

4.5 out of 5 stars with 94 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!125 sheets accommodates 3,125 patient visits. Meet the privacy and confidentiality requirements of HIPAA. Two-part carbonless sign-in sheets. Allows


UB-04 (CMS 1450) Health Insurance Claim Form (Pack of 500 sheets)
By DiscountTaxForms
In Stock
$19.18
$19.11
4.3 out of 5 stars with 137 reviews
UB-04 (CMS 1450) Health Insurance Claim Form. Sold In Packs of 500qty.


UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11" (500)
By Next Day Labels
In Stock
$19.99
$18.99
You Save: 5%

mpn: UB04-500,

4.8 out of 5 stars with 61 reviews
These UB-04 Hospital Insurance Claim forms is made in the USA by Next Day Labels, UB04 forms are used by Hospitals, Medicals etc. to file claims to the insurance companies, These UB-04 is the newest version that accommodates reporting of the National Provider Identifier (NPI) number, These UB-04 forms are made to replace the UB-92 forms., Pack of 500 Sheets - will work for any Laser, Ink Jet PrinterUB-04 (CMS 1450) Health Insurance Claim Form - Pack of 500 Sheets. Laser / Ink-JetFormat / 1 Part


500 CMS-1500 Claim Forms – Current HCFA 02/2012 Version"New Version"- Forms Will line up with Billing Software and Laser Compatible- 500 Sheets – 8.5’’ x 11
By Blue Summit Supplies
In Stock
$16.99

mpn: BSS-92588-302, ean: 0869643000361,

4.7 out of 5 stars with 28 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


CMS 1500 - HCFA Window Envelopes for Claim Forms (No. 10-1/2) 4-1/2" x 9-1/2", White with Inside Security Tint - 250 ENVELOPES
By Wesco
In Stock
$26.80

mpn: 3882, ean: 0609015485583,

4.6 out of 5 stars with 127 reviews
CMS 1500 - HCFA Window Envelopes for Claim Forms (No. 10-1/2) 4-1/2'' x 9-1/2'', White with Inside Security Tint - 250 ENVELOPESCMS 1500 - HCFA Window Envelopes for Claim Forms. Size: No. 10-1/2, 4.5 x 9.5 inches. White with Inside Security Tint. Moisten and Seal. Package of 250 Envelopes.


Buyer's Guide AS is- No Warranty, No Lines, (100 Qty) (W28)
By A Plus
In Stock
$34.00

mpn: 8252-NL,

4.3 out of 5 stars with 51 reviews
This buyer's guide has 4 adhesive sides that easily stick to car, truck, and SUV windows. The front of the form has the AS IS - NO DEALER WARRANTY and DEALER WARRANTY check boxes. Proudly Made in the USA!Size: 8.5'' x 11''. Color: White with Black Ink. Quantity: 100/pack.


CMS 1500 - HCFA Window Envelopes for Claim Forms (No. 10-1/2) 4-1/2" x 9-1/2", White with Inside Security Tint - 50 ENVELOPES
By Wesco
In Stock
$12.84

mpn: 3882, ean: 0609015485576,

4.2 out of 5 stars with 145 reviews
CMS 1500 - HCFA Window Envelopes for Claim Forms (No. 10-1/2) 4-1/2'' x 9-1/2'', White with Inside Security Tint - 50 ENVELOPESCMS 1500 - HCFA Window Envelopes for Claim Forms. Size: No. 10-1/2, 4.5 x 9.5 inches. White with Inside Security Tint. Moisten and Seal. Package of 50 Envelopes.


AMZfiling Dental Patient Registration Form (100/Package)
By AMZfiling
In Stock
$21.31

mpn: 27000, ean: 0041898207546,

4.8 out of 5 stars with 43 reviews
Used to collect confidential information and register new patients for your dental practice. Comes with 2 pre-punched holes for easy filing.Gathers complete personal, billing and insurance information. Easy to read and fill out. Printed both sides in purple. 8-1/2'' W x 11'' H.


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,

4.6 out of 5 stars with 72 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.


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,

4.7 out of 5 stars with 19 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.


Spanish Buyer's Guide, Used Car Dealer Disclosure Form, 100 Qty. (A53)
By A Plus
In Stock
$22.99

mpn: 8250-2017,

4.3 out of 5 stars with 91 reviews
Spanish Buyers Guides for automotive dealerships/car lots. Fill out information and remove the adhesive tape backing strip to expose the adhesive to apply the form on the inside of the car window.Size: 7 3/8'' x 11''. Quantity: 100. 2 Part NCR (no carbon) form with back printing. Back printing lists some major defects that can occur in used vehicles. Has a place for customer to sign acknowledging receipt of the buyers guide.


NEW CMS 1500 Claim Forms - HCFA (Version 02/12) 100 per Ream
By Next Day Labels
In Stock
$8.99

mpn: HCFA1500-100, ean: 0646437575973,

4.7 out of 5 stars with 25 reviews
Pack of 100 sheets1-Part 8-1/2'' X 11'' Laser Form CMS-1500 printed in red ink. Required for health-care providers to bill a patient's insurance company for reimbursement.. New Version 02/12 (APPROVED OMB-0938-1197). Medicare now accept this Version 02/12 only.. For Laser and Inkjet Printers, Made in USA by Next Day Labels TM.



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