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HCFA-1500 (CMS-1500) Claim Forms

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

BAR CODE - AVAILABLE WITH OR WITHOUT BAR CODE WHICH MAY BE REQUIRED BY SOME CLAIMS PROCESSING AGENCIES.

Laser Version

Continuous

Snapout

Click Images to Enlarge

NEW REVISION OF CMS-1500 FORMS NOW AVAILABLE FROM OUR ON-LINE STORE

 

NOTE: WE ARE NOT ACCEPTING RETURNS ON OLD VERSION
(12/90 VERSION) OF HCFA/CMS 1500 FORMS

Description

Qty./Case

Price/Case

Order Secure

LASER
Ink jet, bubble jet printer compatible

With Bar Code

2500

$35.00

NEW VERSION
NEWEST REVISION !!!
CLICK HERE TO
ORDER SECURE

 

OLD VERSION
CLICK HERE TO
ORDER SECURE

LASER
Ink jet, bubble jet printer compatible

Without Bar Code

2500

$35.00

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

With Bar Code

2500

$35.00

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

Without Bar Code

2500

$35.00

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

With Bar Code
white/white

1000

$42.95

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

Without Bar Code
white/white

1000

$42.95

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

With Bar Code
white/canary

1000

$42.95

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

Without Bar Code
white/canary

1000

$42.95

SNAPOUT VERSION
1st Sheet White
2nd Sheet Yellow

Bar Code Only
white/canary

500

$35.00

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.

WE ACCEPT VISA, MASTERCARD and AMERICAN EXPRESS

©2008 Medical Insurance Claim Forms

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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