Medical Insurance Claim Forms - HCFA 1450, UB-92 Insurance Claim Forms

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	HOME \| CMS/HCFA-1500 \| UB04, UB-92 \| HCFA-485, 486, 487 \| ENVELOPES


	HCFA - 1450/ UB-92 Claim Forms


	AVAILABLE IN EITHER LASER-CUT SHEETS OR ONE OR TWO-PART CONTINUOUS FORMS ON HIGH-QUALITY WHITE PAPER.




	Laser Version




		Continuous


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We have the

New UB04 Forms

CLICK HERE

We are not accepting returns on old version
of UB92/ HCFA-1450 forms.

Description

Qty./Case

Price/Case

Order Secure

LASER
Ink jet, bubble jet printer compatible

2500

$35.00

CLICK HERE TO
ORDER SECURE

1 PART CONTINUOUS
Single sheet, tractor feed forms for dot matrix printer

2500

$35.00

2 PART CONTINUOUS
Original with copy tractor feed forms for dot matrix printer

1000

$42.95

3 PART CONTINUOUS
Original plus 2 copies tractor feed forms for dot matrix printer

500

$35.00

4 PART CONTINUOUS
Original plus 3 copies tractor feed forms for dot matrix printer

500

$43.10


	Discounts available for large quantities. Contract pricing available. Call for details

ALL OUR FORMS ARE OF THE HIGHEST QUALITY, ARE PRINTED IN STRICT COMPLIANCE WITH GOVERNMENT SPECIFICATIONS AND ARE APPROVED BY MEDICARE, THE HEALTH CARE FINANCE ADMINISTRATION AND THE INSURANCE INDUSTRY.

124 Pine Oak Dr., Covington, LA 70433

PHONE: 985-875-0800, FAX: 985-809-5788 E-MAIL US


	HOME \| HCFA-1500 \| UB-92 \| HCFA-485, 486, 487 \| ENVELOPES

Our Associated Websites:
american hcfa forms.com
hcfa 1500 forms.com
dfl-enterprises.com
hipaa sign-in.com
ub92.net
discountclaimforms.com

Medical Insurance Claim Forms
HCFA forms, CMS forms, HCFA 1500 forms, CMS 1500 forms

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