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HEALTH INSURANCE
CLAIM FORMS
HCFA FORM CMS-1500
&
UB-04
Forms
For
Laser & Tractor Feed Printers
With
&Without Barcode
All Orders
Are Shipped Within 24 Hours
Get 100 sheets next
day 10:30am by FedEx Express
for only $25.99 - shipping included
Rush orders
must be placed by 3:30pm EST Monday - Thursday or Friday by 11:30am |
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Item |
Format
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Size |
Wt. |
Type
|
Samples
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HCFA
L
CMS-1500
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LASER FORM
CMS 1500
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8-1/2" X
11" |
24# |
Laser One
Part |
LASER
FORM CMS-1500
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HCFA
1
CMS-1500 |
CONTINUOUS (SINGLE)
HCFA CMS-1500 FORM
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8-1/2" X
11" |
20# |
One Part for
pin feed printer |
TRACTOR FEED
HCFA CMS-1500
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HCFA
2
CMS-1500 |
CONTINUOUS (Duplicate)
HCFA CMS-1500 FORM
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8-1/2" X
11" |
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Two Part for
pin feed printer |
TRACTOR FEED
HCFA CMS-1500
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call us to
order for discount prices on larger quantities 888.333.3494
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Item |
Format
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Size |
Wt. |
Type
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Samples
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Hospital
Claim Form |
LASER FORM
UB-04
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8-1/2" X
11" |
24# |
One
Part |
UB-04
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Hospital
Claim Form
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CONTINUOUS (SINGLE)
FORM UB92
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8-1/2" X
11" |
20# |
One Part for
pin feed printer |
Pin Feed
UB-04
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HCFA 1 1450
UB92
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CONTINUOUS (Duplicate)
FORM UB92
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8-1/2" X
11" |
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Two Part for
pin feed printer |
Pin Feed
UB-04
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Click Here For
Security Paper &
Prescription/Medical Security Paper
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