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    TOPS UB-04 Continuous Forms 1 Part - 11 x 9.50 Form Size - White - Red Print Color - 2500 / Carton

    TOPS UB-04 Continuous Forms 1 Part - 11 x 9.50 Form Size - White - Red Print Color - 2500 / Carton

    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

    $115.30 $98.01

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    TOPS CMS-15000 Health Insurance Claim Forms - 20 lb - 11 x 8.50 Sheet Size - White Sheet(s) - Red Print Color - 250 / Pack

    TOPS CMS-15000 Health Insurance Claim Forms - 20 lb - 11 x 8.50 Sheet Size - White Sheet(s) - Red Print Color - 250 / Pack

    Health insurance claim forms are in the CMS NUCC and OMB approved format. They are printed front and back in red OCR ink on white letter-size 20 lb. bond for convenient scanning. Forms are compatible with laser printers. more

    $27.98

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    Best Seller
    NEW CMS-1500 INSURANCE CLAIM FORMS HCFA (Version 02/12) - 2 CASES (5000 SHEETS/FORMS)

    NEW CMS-1500 INSURANCE CLAIM FORMS HCFA (Version 02/12) - 2 CASES (5000 SHEETS/FORMS)

    NEW CMS-1500 INSURANCE CLAIM FORMS HCFA (Version 02/12) - 2 CASES (5000 SHEETS/FORMS) more

    $160.22

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    UB-04 (CMS-1450) Health Hospital Insurance Claim Form Laser 8-1/2 X 11 - Pack Of 100 Forms

    UB-04 (CMS-1450) Health Hospital Insurance Claim Form Laser 8-1/2 X 11 - Pack Of 100 Forms

    UB-04 (CMS-1450) Health Insurance Claim Form Laser / Inkjet Format 24-lb 8.5 x 11-inch (Letter Size) 100% Compliant with Approved Update to HCFA / CMS 1450 Health Claim Form more

    $32.60

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    UB-04 (CMS-1450) Health Hospital Insurance Claim Form Laser 8-1/2 x 11 - Pack of 100 Forms

    UB-04 (CMS-1450) Health Hospital Insurance Claim Form Laser 8-1/2 x 11 - Pack of 100 Forms

    UB-04 (CMS-1450) Health Hospital Insurance Claim Form Laser 8-1/2 x 11 - Pack of 100 Forms more

    $28.00

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    UB-04 CMS 1450 Health Hospital Insurance Claim Form Laser 8-1/2 x 11 100 Forms Per Pack

    UB-04 CMS 1450 Health Hospital Insurance Claim Form Laser 8-1/2 x 11 100 Forms Per Pack

    CMS-1450 / UB-04 Form Next Day Labels UB04 / CMS 1450 forms are completely compliant with NUBC format and coding requirements: more

    $19.99

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    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

    CMS-1450 / UB-04 Form Next Day Labels UB04 / CMS 1450 forms are completely compliant with NUBC format and coding requirements: more

    $28.38

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    CMS-1500 Claim Forms - Current HCFA 02/2012 Version Health Insurance Claim Forms for Medical Facilities and Hospitals Compatible w/Laser and Inkjet Printers - 8.5 x 11 (100 Sheets)

    CMS-1500 Claim Forms - Current HCFA 02/2012 Version Health Insurance Claim Forms for Medical Facilities and Hospitals Compatible w/Laser and Inkjet Printers - 8.5 x 11 (100 Sheets)

    CMS-1500 Claim Forms - Current HCFA 02/2012 Version Health Insurance Claim Forms for Medical Facilities and Hospitals Compatible w/Laser and Inkjet Printers - 8.5 x 11 (100 Sheets). SUPERIOR QUALITY: Our CMS-1500 insurance claim forms are manufactured... more

    $19.99 $14.99

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    250 CMS-1500 Claim Forms - Current HCFA 02/2012 Version Health Insurance Claim Forms for Medical Facilities and Hospitals Compatible w/Laser and Inkjet Printers - 250 Sheets 8.5 x 11

    250 CMS-1500 Claim Forms - Current HCFA 02/2012 Version Health Insurance Claim Forms for Medical Facilities and Hospitals Compatible w/Laser and Inkjet Printers - 250 Sheets 8.5 x 11

    250 CMS-1500 Claim Forms - Current HCFA 02/2012 Version Health Insurance Claim Forms for Medical Facilities and Hospitals Compatible w/Laser and Inkjet Printers - 250 Sheets 8.5 x 11. SUPERIOR QUALITY: Our CMS-1500 insurance claim forms are... more

    $22.99 $17.99

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    New CMS 1500 Claim Forms - Current HCFA 02/2012 Version Health Insurance Claim Forms for Medical Facilities and Hospitals w/Laser and Inkjet Printers - 8.5 x 11 (2500 Sheets)

    New CMS 1500 Claim Forms - Current HCFA 02/2012 Version Health Insurance Claim Forms for Medical Facilities and Hospitals w/Laser and Inkjet Printers - 8.5 x 11 (2500 Sheets)

    SUPERIOR QUALITY: Our CMS-1500 insurance claim forms are manufactured and printed in the USA by US government certified printers on bright white Thick 20 LB paper; compatible with Laser and Inkjet printers. Printed in red ink. All printed fields boxes... more

    $79.99

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    TFP UB-04 CMS-1450 1-Part Health Insurance Claims 2500/Carton (UB04LC)

    TFP UB-04 CMS-1450 1-Part Health Insurance Claims 2500/Carton (UB04LC)

    Product Description Complete billing tasks with these TFP UB-04 one-part hospital claim forms. Ensure proper processing of medical procedures and patient care with these hospital claim forms. The 20-pound bond paper offers added durability and is easy... more

    $60.98

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    Tfp Ub-04 Cms-1450 1-Part Health Insurance Claims 2500/Carton (Ub04lc)

    Tfp Ub-04 Cms-1450 1-Part Health Insurance Claims 2500/Carton (Ub04lc)

    Complete billing tasks with these TFP UB-04 one-part hospital claim forms. Ensure proper processing of medical procedures and patient care with these hospital claim forms. The 20-pound paper offers added durability and is easy to load in office... more

    $77.44

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    TFP UB-04 CMS-1450 1-Part Health Insurance Claims 2500/Carton (UB04LC)

    TFP UB-04 CMS-1450 1-Part Health Insurance Claims 2500/Carton (UB04LC)

    Product Description Complete billing tasks with these TFP UB-04 one-part hospital claim forms. Ensure proper processing of medical procedures and patient care with these hospital claim forms. The 20-pound bond paper offers added durability and is easy... more

    $59.98

    FREE shipping

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    TFP UB-04 CMS-1450 1-Part Health Insurance Claims UB04LC

    TFP UB-04 CMS-1450 1-Part Health Insurance Claims UB04LC

    Complete billing tasks with these TFP UB-04 one-part hospital claim forms. Ensure proper processing of medical procedures and patient care with these hospital claim forms. The 20-pound bond paper offers added durability and is easy to load in office... more

    $59.92

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    TOPS UB04 Health Care Form Revised HCFA Compliant 59770R

    TOPS UB04 Health Care Form Revised HCFA Compliant 59770R

    Revised Format. AMA approved format. The UB-04 is the form hospitals and institutions e to file a medical claim with the patient s insurance company. e TOPS UB-04 forms with confidence. They meet the requirements of the Centers for Medicare and... more

    $19.65

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    UB04 Hospital Insurance Claim Form 8 1/2 x 11 Laser Printer 2500 Forms

    UB04 Hospital Insurance Claim Form 8 1/2 x 11 Laser Printer 2500 Forms

    Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association AMA approved format. For Laser Printers. Form Size: 8 1/2 x 11 Forms Per Page: 1 Form Quantity: 2500 Layout: One Form per Sheet. more

    $158.86 $80.25

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    Tops® UB04 Hospital Insurance Claim Form 8 1/2 x 11 2 500 Forms (TOP59870R)

    Tops® UB04 Hospital Insurance Claim Form 8 1/2 x 11 2 500 Forms (TOP59870R)

    UB04 Hospital Insurance Claim Form . . . Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 2500; Layout: One Form per Sheet. Tops® UB04 Hospital Insurance Claim Form 8 1/2 x 11 2 500 Forms Global Product Type: Forms-Insurance Claim Form Size: 8... more

    $198.21

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    UB04 Hospital Insurance Claim Form 8 1/2 x 11 2 500 Forms

    UB04 Hospital Insurance Claim Form 8 1/2 x 11 2 500 Forms

    TOPS - UB04 Hospital Insurance Claim Form 8 1/2 x 11 2 500 FormsPrinted 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

    $95.23

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    Cms Health Insurance Claim Form One-Part 8.5 X 11 100 Forms | Bundle of 10 Packs

    Cms Health Insurance Claim Form One-Part 8.5 X 11 100 Forms | Bundle of 10 Packs

    CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare Medicaid or private insurance benefits. OCR red ink for scanning. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 100; Sheet Size: 8.5 x 11. This is a bundle of 10... more

    $271.99 $151.89

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    Paris Health Insurance Claim Forms 9 1/2 x 11 20 lbs. 1-Part Healthcare Form White 2500/Case 05102

    Paris Health Insurance Claim Forms 9 1/2 x 11 20 lbs. 1-Part Healthcare Form White 2500/Case 05102

    Paris Health Insurance Claim Forms 20 lbs. 1-Part Healthcare Form is required for all federal insurance claims and many private healthcare organizations. Paris Health insurance claim form in white color measures 9 1/2 x 11 and guards against... more

    $165.98

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    UB-04 (CMS 1450) Health Insurance Claim Form 500 Count Single Sheets - 1 Ream of 500 Forms

    UB-04 (CMS 1450) Health Insurance Claim Form 500 Count Single Sheets - 1 Ream of 500 Forms

    UB-04 (CMS 1450) Health Insurance Claim Form 500 Count Single Sheets - 1 Ream of 500 Forms more

    $25.00

    FREE shipping

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    Health Insurance Claim Forms New CMS-1500 HCFA (04/14 Medicare Approved 02/12 Version) 1-Part 8.5 x 11 24-lb Paper - 1 CASE of 2500 Sheets/Forms

    Health Insurance Claim Forms New CMS-1500 HCFA (04/14 Medicare Approved 02/12 Version) 1-Part 8.5 x 11 24-lb Paper - 1 CASE of 2500 Sheets/Forms

    Health Insurance Claim Forms New CMS-1500 HCFA (04/14 Medicare Approved 02/12 Version) 1-Part 8.5 x 11 24-lb Paper - 1 CASE of 2500 Sheets/Forms more

    $82.00

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    Health Insurance Claim Forms New CMS-1500 HCFA (04/14 Medicare Approved 02/12 Version) 1-Part 8.5 x 11 24-lb Paper - 1 Package of 100 Sheets/Forms

    Health Insurance Claim Forms New CMS-1500 HCFA (04/14 Medicare Approved 02/12 Version) 1-Part 8.5 x 11 24-lb Paper - 1 Package of 100 Sheets/Forms

    Health Insurance Claim Forms New CMS-1500 HCFA (04/14 Medicare Approved 02/12 Version) 1-Part 8.5 x 11 24-lb Paper - 1 Package of 100 Sheets/Forms more

    $16.84

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    Cms Health Insurance Claim Form One-Part 8.5 X 11 100 Forms | Bundle of 5 Packs

    Cms Health Insurance Claim Form One-Part 8.5 X 11 100 Forms | Bundle of 5 Packs

    CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare Medicaid or private insurance benefits. OCR red ink for scanning. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 100; Sheet Size: 8.5 x 11. This is a bundle or of... more

    $141.63 $81.77

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    Health Insurance Claim Forms New CMS-1500 HCFA (04/14 Medicare Approved 02/12 Version) 1-Part 8.5 x 11 24-lb Paper - 1 Package of 250 Sheets/Forms

    Health Insurance Claim Forms New CMS-1500 HCFA (04/14 Medicare Approved 02/12 Version) 1-Part 8.5 x 11 24-lb Paper - 1 Package of 250 Sheets/Forms

    Health Insurance Claim Forms New CMS-1500 HCFA (04/14 Medicare Approved 02/12 Version) 1-Part 8.5 x 11 24-lb Paper - 1 Package of 250 Sheets/Forms more

    $28.86

    FREE shipping

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    UB-04 (CMS 1450) Health Insurance Claim Form 500 Count (4 Pack)

    UB-04 (CMS 1450) Health Insurance Claim Form 500 Count (4 Pack)

    UB-04 (CMS 1450) Health Insurance Claim Form 500 Count (4 Pack) more

    $44.56

    FREE shipping

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    ComplyRight 8.5 x 11 in. CMS-1500 Health Insurance Claim Forms White

    ComplyRight 8.5 x 11 in. CMS-1500 Health Insurance Claim Forms White

    Meet billing requirements for Medicare Part B. Easy-to-read forms with crisp clean text help ensure faster claims processing. Paper layout and ink comply with CMS standards and requirements. Layout includes all 02/12 NUCC revisions and is a direct... more

    $17.40

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    UB-04 CMS 1450 Health Insurance Claim Form Pack of 500 sheets

    UB-04 CMS 1450 Health Insurance Claim Form Pack of 500 sheets

    UB-04 Forms CMS-1450 Forms 500 Count of paper laser. more

    $22.38

    FREE shipping

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    CMS 1500 Health Insurance Claim Form (02-12) 8.5 x 11 2500 sheets

    CMS 1500 Health Insurance Claim Form (02-12) 8.5 x 11 2500 sheets

    CMS 1500 Health Insurance Claim Form (02-12) 8.5 x 11 2500 sheets more

    $62.00

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    ComplyRight 2-Part Continuous CMS-1500 Health Insurance Claim Form (02/12) CMS122

    ComplyRight 2-Part Continuous CMS-1500 Health Insurance Claim Form (02/12) CMS122

    TFP Cms-1500 health insurance claim form is printed on white/canary paper sold as 1000 per case. TFP Cms-1500 Health insurance claim form is printed with OCR dropout red ink over #20 white paper. Form measures 8.5 x 11 sold as 1000 per case. • 8 1/2... more

    $66.09

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    CMS 1500 Claim Forms ICD-10 HCFA (Version 02/12) - Health Insurance Laser Cut Sheet - 1000 Sheets

    CMS 1500 Claim Forms ICD-10 HCFA (Version 02/12) - Health Insurance Laser Cut Sheet - 1000 Sheets

    CMS 1500 Claim Forms ICD-10 HCFA (Version 02/12) - Health Insurance Laser Cut Sheet - 1000 Sheets more

    $25.86

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    CMS 1500 Claim Forms ICD-10 HCFA (Version 02/12) - Health Insurance Laser Cut Sheet - 2500 Sheets

    CMS 1500 Claim Forms ICD-10 HCFA (Version 02/12) - Health Insurance Laser Cut Sheet - 2500 Sheets

    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... more

    $61.04

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    health insurance claim forms for laser printer 8.5 x 11 inches 250 per pack (50135rv) white

    health insurance claim forms for laser printer 8.5 x 11 inches 250 per pack (50135rv) white

    Sold as 250/Pack. Top sensor bar for microfiche duplication as required in some states. OCR red for scanning. OCR red for scanning. Made in the USA. more

    $26.81

    FREE shipping

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    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

    CMS 1500 Claim Forms New HCFA (Version 02/12) - Health Insurance Laser Cut Sheet - 500 Sheets more

    $28.04

    FREE shipping

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    UB-04 (CMS 1450) Health Insurance Claim Form 500 Count (3 Pack)

    UB-04 (CMS 1450) Health Insurance Claim Form 500 Count (3 Pack)

    UB-04 (CMS 1450) Health Insurance Claim Form 500 Count (3 Pack) more

    $34.96

    FREE shipping

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    TFP CMS-1500 Health Insurance Claim Form; Laser-Cut Sheet 116719

    TFP CMS-1500 Health Insurance Claim Form; Laser-Cut Sheet 116719

    Stay in compliance and process claims efficiently when submitting insurance claims with ComplyRight CMS-1500 Health Insurance Claim Forms. Ensure all the necessary information for insurance claims is submitted by using these health insurance claim... more

    $63.19 $31.66

    FREE shipping

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    CMS 1500 Claim Forms ICD-10 HCFA (Version 02/12) - Health Insurance Laser Cut Sheet - 2500 Sheets

    CMS 1500 Claim Forms ICD-10 HCFA (Version 02/12) - Health Insurance Laser Cut Sheet - 2500 Sheets

    Product Description 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... more

    $54.98

    FREE shipping

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    Cms-1500 Health Insurance Claim Forms One-Part 8.5 X 11 100/pack | Bundle of 5 Packs

    Cms-1500 Health Insurance Claim Forms One-Part 8.5 X 11 100/pack | Bundle of 5 Packs

    Meet billing requirements for Medicare Part B. Easy-to-read forms with crisp clean text help ensure faster claims processing. Paper layout and ink comply with CMS standards and requirements. Layout includes all 02/12 NUCC revisions and is a direct... more

    $39.36

    FREE shipping

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    Adams CMS1500L1V Laser Health Insurance Claim Form Pack of 5

    Adams CMS1500L1V Laser Health Insurance Claim Form Pack of 5

    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... more

    $18.26 $17.07

    FREE shipping

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    Cms-1500 Health Insurance Claim Forms One-Part 8.5 X 11 100/pack | Bundle of 10 Packs

    Cms-1500 Health Insurance Claim Forms One-Part 8.5 X 11 100/pack | Bundle of 10 Packs

    Meet billing requirements for Medicare Part B. Easy-to-read forms with crisp clean text help ensure faster claims processing. Paper layout and ink comply with CMS standards and requirements. Layout includes all 02/12 NUCC revisions and is a direct... more

    $67.06

    FREE shipping

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    More information about Paper

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