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    TOPS CMS-1500 Health Insurance Claim Forms, 2-Part Carbonless, Continuous, 9.5 x 11 Inches, 1500 Sheets per Carton (50124RV)

    TOPS CMS-1500 Health Insurance Claim Forms, 2-Part Carbonless, Continuous, 9.5 x 11 Inches, 1500 Sheets per Carton (50124RV)

    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... more

    $108.63

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    Adams CMS-1500 Health Insurance Claim Forms, 2-Part, Continuous, 9.5 x 11 Inches, 100 Sets per Pack (CMS1500CV)

    Adams CMS-1500 Health Insurance Claim Forms, 2-Part, Continuous, 9.5 x 11 Inches, 100 Sets per Pack (CMS1500CV)

    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... more

    $15.21

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    TOPS CMS-1500 Health Insurance Claim Forms, 1-Part, Continuous, 9.5 x 11 Inches, 3000 Sheets per Carton (50122RV)

    TOPS CMS-1500 Health Insurance Claim Forms, 1-Part, Continuous, 9.5 x 11 Inches, 3000 Sheets per Carton (50122RV)

    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... more

    $96.29

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    Cms 1500 Claim Form - 500 Sheets (02/12 Version) For Laser Or Inkjet Printer

    Cms 1500 Claim Form - 500 Sheets (02/12 Version) For Laser Or Inkjet Printer

    NEW CMS 1500 Claim Forms 500 Sheets (02/12 Version) For Laser Printers, Inkjet Printers or Handwritten Approved CMS-1500 form (02/12) to replace the previous CMS form (08/05)Fully updated with the latest revisions, the new CMS-1500 form is 100%... more

    $29.99

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    Cms 1500 Hcfa Claim Forms (02/12) 500 Forms With 25 Hcfa Envelopes

    Cms 1500 Hcfa Claim Forms (02/12) 500 Forms With 25 Hcfa Envelopes

    Pack includes 500 New HCFA claim forms plus 25 9 x 12-1/2" self seal claim form envelopes. New Health insurance claim form, for use starting January 6, 2014. Pack of 500 HCFA CMS-1500 claim forms comply with current physicians' standards for expediting... more

    $29.99

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    2500 Continuous Cms-1500 (02-12) Insurance Claim Forms

    2500 Continuous Cms-1500 (02-12) Insurance Claim Forms

    This is the approved OMB-0938-0999 Form CMS-1500 (02-12) which contains the addition of the NPI (National Provider Identifier) field. This product is 1 part continuous feed paper compatible with continuous (pin fed/dot matrix)printers. Laser format... more

    $44.00

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    Estimate Form Sheets (500)

    Estimate Form Sheets (500)

    (500 count) Protect against unreasonable claims when you write up estimated costs for everything! Room to list labor, materials, miscellaneous expenses and more. Keep a copy. In pads of 50 with 2 carbons with extra lines on back. more

    $61.50

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    Cms 1500 Claim Forms - 25 Sheets (02/12 Version) For Laser Or Inkjet Printer

    Cms 1500 Claim Forms - 25 Sheets (02/12 Version) For Laser Or Inkjet Printer

    NEW CMS 1500 Claim Forms 25 Sheets (02/12 Version) For Laser Printers, Inkjet Printers or Handwritten Approved CMS-1500 form (02/12) to replace the previous CMS form (08/05)Fully updated with the latest revisions, the new CMS-1500 form is 100%... more

    $5.99

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    Cms 1500 Claim Forms - 50 Sheets (02/12 Version) For Laser Or Inkjet Printer

    Cms 1500 Claim Forms - 50 Sheets (02/12 Version) For Laser Or Inkjet Printer

    NEW CMS 1500 Claim Forms 50 Sheets (02/12 Version) For Laser Printers, Inkjet Printers or Handwritten Approved CMS-1500 form (02/12) to replace the previous CMS form (08/05)Fully updated with the latest revisions, the new CMS-1500 form is 100%... more

    $8.99

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    Cms / Hcfa 1500 Health Insurance Claim Forms, 50 Sheets, 08/05 Version

    Cms / Hcfa 1500 Health Insurance Claim Forms, 50 Sheets, 08/05 Version

    Brand New! Soon to be Discontinue! (08/05 Version) (without Bar Code) 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.... more

    $8.99

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    Simplified Claim Form Signature Release Labels (1)

    Simplified Claim Form Signature Release Labels (1)

    (1 count) Signature release labels can easily be applied to patient insurance forms to avoid claims processing delays. Compatibility: For use with Simplified Claim Forms - Item #4049. Handy! Get a patient signature on self-adhesive labels, then affix... more

    $23.79

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    Service Order Form with Claim Check - Carbonless (250)

    Service Order Form with Claim Check - Carbonless (250)

    (250 count) One write-up does it all! Easily record costs in preprinted sections for materials, labor & more. Claim check feature for easier tracking and processing. And when the job is finished, your invoice is ready! Go carbonless for a greener,... more

    $68.00

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    Tops UB-04 Hospital Claim Form

    Tops UB-04 Hospital Claim Form

    UB-04 laser-cut forms are designed for medical offices to file a claim with the patient's insurance company. The Health Care Finance Administration format ensures accuracy in reporting all necessary information. Forms meet the requirements of the... more

    $92

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    Tops UB04 Hospital Insurance Claim Form

    Tops UB04 Hospital Insurance Claim Form

    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. more

    $198.36 $102.37

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    Shoplet.com

    (25,000+)
    Adams Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 100 per Pack (CMS1500L1V)

    Adams Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 100 per Pack (CMS1500L1V)

    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... more

    $10.14

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    Adams Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 250 per Pack (CMS1500L2V)

    Adams Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 250 per Pack (CMS1500L2V)

    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... more

    $13.45

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    TOPS Health Insurance Claim Forms for Laser Printer, 8.5 x 11 inches, 500 Sheets per Pack (50126RV)

    TOPS Health Insurance Claim Forms for Laser Printer, 8.5 x 11 inches, 500 Sheets per Pack (50126RV)

    TOPS CMS-1500 Health Insurance Claim Forms are approved by the National Uniform Claim Committee (NUCC) and the OMB. For use with laser printers, these forms are printed in red OCR ink on white 20# bond paper. They measure 8.5 x 11 inches and come 500... more

    $29.05

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    Tops Insurance/UB04 Hospital Claim

    Tops Insurance/UB04 Hospital Claim

    Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Global Product Type: Forms-Insurance Claim; Form Size (W x H): 8 1/2 in x 11 in; Format: Continuous Form; Forms Per Page: N/A. more

    $162.27 $96.65

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    Shoplet.com

    (25,000+)
    Tops UB-04 Continuous Billing Form

    Tops UB-04 Continuous Billing Form

    UB-04 continuous forms are designed for hospitals to file a claim with the patient's insurance company. The Health Care Finance Administration format ensures accuracy in reporting all necessary information. Forms meet the requirements of the Centers... more

    $64

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    Tops UB-04 Hospital Claim Form

    Tops UB-04 Hospital Claim Form

    UB-04 continuous forms are designed for hospitals to file a claim with the patient's insurance company. The Health Care Finance Administration format ensures accuracy in reporting all necessary information. Forms meet the requirements of the Centers... more

    $88

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