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    Tops Billing Forms - White - 8.5 in. x 11 in.

    Tops Billing Forms - White - 8.5 in. x 11 in.

    Designed for medical offices to file a claim with the patient s insurance company these UB-04 laser-cut forms meet the requirements of the Centers for Medicare and Medicaid Services (CMS) and ensure accuracy in reporting all necessary information.... more

    $207.87

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    ComplyRight Dental Claim 500/Pack (1900500)

    ComplyRight Dental Claim 500/Pack (1900500)

    This ADA dental claim form allows healthcare providers to bill a patient s insurance company for reimbursement of dental claims. This form in laser format features 8.5 x 11 size. This is the latest version of the claim/attending dentist form (2019).... more

    $17.42

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    ComplyRight Dental Claims 250/Pack (1900250)

    ComplyRight Dental Claims 250/Pack (1900250)

    This ADA dental claim form allows healthcare providers to bill a patient s insurance company for reimbursement of dental claims. These forms in laser format feature 8.5 x 11 size. This is the latest version of the claim/attending dentist form (2019).... more

    $26.61 $14.95

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    CodYinFI UB-04 Hospital Claim Envelope | Pack of 500

    CodYinFI UB-04 Hospital Claim Envelope | Pack of 500

    As more insurance companies convert to optically scanning your claim forms the need to mail them unfolded becomes increasingly important. When claim forms are folded they may jam the automatic scanning equipment and delay the processing of claims.... more

    $94.07

    FREE shipping

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    MYXIO UB-04 Hospital Claim Envelope | Pack of 500

    MYXIO UB-04 Hospital Claim Envelope | Pack of 500

    As more insurance companies convert to optically scanning your claim forms the need to mail them unfolded becomes increasingly important. When claim forms are folded they may jam the automatic scanning equipment and delay the processing of claims.... more

    $109.76

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    ComplyRight CMS 1500 Healthcare Billing Form - 02/12 Laser 1000-Count CMS12LC1

    ComplyRight CMS 1500 Healthcare Billing Form - 02/12 Laser 1000-Count CMS12LC1

    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... more

    $32.58

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    CMS 1500 Billing Form - 02/12 2-Part Continuous White & Canary 1000-Count (CMS122)

    CMS 1500 Billing Form - 02/12 2-Part Continuous White & Canary 1000-Count (CMS122)

    Thank you for your custom.Customer care is our top priority. Offer is subject to availability.We promise you won t regret buying it. Required for providers to bill a patient s insurance company for reimbursement of medical claims Forms adhere to... more

    $83.26

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    CMS 1500 Billing Form | 8.5 x | Medical Billing | Pack of 2500

    CMS 1500 Billing Form | 8.5 x | Medical Billing | Pack of 2500

    Thank you for your custom.Customer care is our top priority. Offer is subject to availability.We promise you won t regret buying it. INSURANCE CLAIM FORM: CMS 1500 Billing Forms versi 02/12 are fully updated with latest form revisis from U.S. Centers... more

    $121.37

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    CMS 1500 Billing Form | 8.5 x | Medical Billing | Pack of 2500

    CMS 1500 Billing Form | 8.5 x | Medical Billing | Pack of 2500

    Thank you for your custom.Customer care is our top priority. Offer is subject to availability.We promise you won t regret buying it. INSURANCE CLAIM FORM: CMS 1500 Billing Forms versi 02/12 are fully updated with latest form revisis from U.S. Centers... more

    $121.37

    FREE shipping

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    CMS 1500 Billing Form | 9.5 x | 1-Part Continuous | Medical Billing | Pack of 1 000

    CMS 1500 Billing Form | 9.5 x | 1-Part Continuous | Medical Billing | Pack of 1 000

    Thank you for your custom.Customer care is our top priority. Offer is subject to availability.We promise you won t regret buying it. INSURANCE CLAIM FORM: CMS 1500 Billing Forms versi 02/12 are fully updated with latest form revisis from U.S. Centers... more

    $87.35

    FREE shipping

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    cms 1500 billing form - 02/12 2-part continuous white & canary 1000-count (cms122)

    cms 1500 billing form - 02/12 2-part continuous white & canary 1000-count (cms122)

    Required for providers to bill a patient s insurance company for reimbursement of medical claims Forms adhere to printing standards that govern the layout paper and 20-Lb paper with OCR dropout red for greater scanning accuracy SFI certified -... more

    $84.54

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    cms 1500 billing form - 02/12 1-part continuous 2500-count (cms121)

    cms 1500 billing form - 02/12 1-part continuous 2500-count (cms121)

    Required for providers to bill a patient s insurance company for reimbursement of medical claims Forms adhere to printing standards that govern the layout paper and 20-Lb paper with OCR dropout red for greater scanning accuracy SFI certified -... more

    $91.20

    FREE shipping

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