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Medical/Insurance Forms

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No sustainability criteria met – consider a greener alternative. more

UB04 Claim Forms, 8 1/2 x 11, 2500 Forms

Manufacturer: Paris Business Products

Item Number: PRB05108

  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.
  • Made in the USA
    • Made in the USA

$164.79

per CT


No sustainability criteria met – consider a greener alternative. more

UB04 Claim Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 Forms

Manufacturer: Paris Business Products

Item Number: PRB05109

  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.
  • Made in the USA
    • Made in the USA

$200.84

per CT


No sustainability criteria met – consider a greener alternative. more

UB04 Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms

Manufacturer: Paris Business Products

Item Number: PRB05110

  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.
  • Made in the USA
    • Made in the USA

$216.29

per CT


No sustainability criteria met – consider a greener alternative. more

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

Manufacturer: TOPS®

Item Number: TOP59870R

  • Printed to Government Printing Office standards.
  • OCR ink for scanning.
  • American Medical Association (AMA) approved format.
  • Made in the USA
    • Made in the USA

$185.39

per CT


No sustainability criteria met – consider a greener alternative. more

Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms

Manufacturer: TOPS®

Item Number: TOP50135RV

  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
  • Top sensor bar for microfiche duplication, as required in some states.
  • OCR red ink for scanning.
  • Made in the USA
    • Made in the USA

$16.47

per PK


No sustainability criteria met – consider a greener alternative. more

Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms

Manufacturer: TOPS®

Item Number: TOP50126RV

  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
  • Top sensor bar for microfiche duplication, as required in some states.
  • OCR red ink for scanning.
  • Made in the USA
    • Made in the USA

$39.13

per PK


No sustainability criteria met – consider a greener alternative. more

Centers for Medicare and Medicaid Services Forms, 3000 Forms

Manufacturer: TOPS®

Item Number: TOP50122RV

  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
  • Top sensor bar for microfiche duplication, as required in some states.
  • OCR red ink for scanning.
  • Made in the USA
    • Made in the USA

$122.58

per CT


No sustainability criteria met – consider a greener alternative. more

Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms

Manufacturer: TOPS®

Item Number: TOP50124RV

  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
  • Top sensor bar for microfiche duplication, as required in some states.
  • OCR red ink for scanning.
  • Made in the USA
    • Made in the USA

$190.54

per CT


No sustainability criteria met – consider a greener alternative. more

CMS Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms

Manufacturer: Paris Business Products

Item Number: PRB07116

  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.
  • Made in the USA
    • Made in the USA

$216.29

per CT


No sustainability criteria met – consider a greener alternative. more

CMS Forms, 2 Part Continuous White/White, 9 1/2 x 11, 1000 Forms

Manufacturer: Paris Business Products

Item Number: PRB07114

  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.
  • Made in the USA
    • Made in the USA

$113.29

per CT


No sustainability criteria met – consider a greener alternative. more

CMS Forms, 8 1/2 x 11, 500/Ream

Manufacturer: Paris Business Products

Item Number: PRB07106

  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.
  • Made in the USA
    • Made in the USA

$37.07

per RM


No sustainability criteria met – consider a greener alternative. more

CMS Forms, 8 1/2 x 11, 250 Forms

Manufacturer: Paris Business Products

Item Number: PRB07104

  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.
  • Made in the USA
    • Made in the USA

$14.87

per RM


No sustainability criteria met – consider a greener alternative. more

CMS Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 Forms

Manufacturer: Paris Business Products

Item Number: PRB07102

  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.
  • Made in the USA
    • Made in the USA

$107.75

per CT


No sustainability criteria met – consider a greener alternative. more

CMS Health Insurance Claim Form, 9-1/2 x 11, Three-Part, 100 Continuous Forms

Manufacturer: Adams Business Forms

Item Number: ABFCMS1500CV

  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
  • OCR red ink for scanning.

$23.68

per PK


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