Medical & Insurance Forms - Blowout Sale! Save up to 65%
Blowout Sale! Up to 65% off on Medical & Insurance Forms at Easy Blogging Tip. Top brands include Tops, Next Day Labels, HCFA, Jaxplaza, The Filing Supplies Shop, Salemax, AMZfiling, twiHealthcare, Salemax300, Stockchecks, EGPChecks, Highland, Wesco, Barrington Equipment & Supply, & Formsandchecks. Hurry! Limited time offers. Offers valid only while supplies last.
TOPS Health Insurance Claim Forms for Laser Printer, 8.5 x 11 inches, 500 Sheets per Pack (50126RV)
You Save: 65%
mpn: 50126RV, ean: 0021111549561,
4.1 out of 5 stars with 138 reviews
TOPS CMS-1500 Health Insurance Claim Forms are approved by the National Uniform Claim Committee (NUCC) and the OMB. For use with laser printers, these forms are printed in red OCR ink on white 20# bond paper. They measure 8.5 x 11 inches and come 500 per pack. This version (02/12) is for use beginning January 6, 2014. Since 1952, TOPS has provided quality products and services to businesses throughout the world. TOPS continues that commitment providing innovative, high quality value-added
New cms 1500 Claim Forms - HCFA (Version 02/12) 2500 per Case
4.5 out of 5 stars with 111 reviews
HCFA 1500 / CMS 1500 Claim Forms is required to use to bill Insurance / Medicare and all federal insurance, now you need to use only the New 2012 Version Each form must have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA). Developed in conjunction with all the governing agencies, including the National Uniform Claim Committee (NUCC), the National Uniform Billing Committee (NUBC), the CMS Centers for Medicare and Medicaid Services, the Health and
CMS-1500 Version 08/05 - 1,000 Sheets. Medical Billing Claim Forms. HCFA 0805 Version
mpn: CMS1500V0805, ean: 0040498034217,
4.6 out of 5 stars with 9 reviews
08/05 Version. (1,000 Sheets) The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare organizations.1-Part Laser Form CMS-1500 printed in red ink. APPROVED OMB-0938-0999 (Version 08/05). Size: 8-1/2'' X 11''; Weight: 24# Paper. For Laser and Inkjet Printers. 1,000 Sheets.
UB-04 Hospital Claim Form 1-Part Continuous (2,500/case)
By The Filing Supplies Shop
4.2 out of 5 stars with 64 reviews
UB-04 Hospital Claim Form 1-Part Continuous (2,500/case) Printed in OCR red ''dropout'' ink; 20# Environmental Paper Alliance (EPA) Recycled Paper (White); 2,500/case.
CMS 1450 / Ub04 Medical Billing Forms (2500 Sheets)
4.0 out of 5 stars with 43 reviews
Carbonless bond paper for jam-free performance and are printed in OCR-scannable red ink. All forms are government approved CMS-1450 (UB04) to serve federal programs and private insurers as a universal claim form.1 Part Laser (2500 Single Sheets - for Laser/Inkjet Printers). Meets all Government Standards. Accommodates reporting of the National Provider Identifier (NPI) number. Factory Sealed.
AMZfiling Dental Patient Registration Form (100/Package)
mpn: 27000, ean: 0041898207546,
4.3 out of 5 stars with 11 reviews
Used to collect confidential information and register new patients for your dental practice. Comes with 2 pre-punched holes for easy filing.Gathers complete personal, billing and insurance information. Easy to read and fill out. Printed both sides in purple. 8-1/2'' W x 11'' H.
TOPS CMS-1500 Health Insurance Claim Forms, 2-Part Carbonless, Continuous, 9.5 x 11 Inches, 1500 Sheets per Carton (50124RV)
You Save: 31%
mpn: 50124RV, ean: 0025932512407,
4.7 out of 5 stars with 143 reviews
TOPS CMS-1500 Health Insurance Claim Forms are approved by the National Uniform Claim Committee (NUCC) and the OMB. These 2-part, carbonless, continuous forms are printed in red OCR ink on white 20# paper. They measure 9.5 x 11 inches and have a detached size of 8.5 x 11 inches. There are 1500 forms per carton. This version (02/12) is for use beginning January 6, 2014. Since 1952, TOPS has provided quality products and services to businesses throughout the world. TOPS continues that commitment
CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 1000 Sheets
You Save: 5%
mpn: WCMS-1500 (02/12),
4.7 out of 5 stars with 22 reviews
Look on our Amazon Store (TWIhealthcare) for ICD-10 envelopes and other products. Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant. This form was revised to align the paper form with some of the changes in the electronic health care claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1). The most significant change was the addition of 8 diagnosis codes in field 21. Includes new QR code identifier at the top
CMS 1500 Claim Forms - HCFA (Version 02/12) 2,500 SHEETS, APPROVED OMB-0938-1197
mpn: SCWCMS-1500CS-12, ean: 0689732705904,
4.7 out of 5 stars with 107 reviews
The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare carriers / payers . These preprinted and cut size forms speed up claims processing. Version 02/122,500 Single Sheets - Printed in OCR red. (Version 02/12) APPROVED OMB-0938-1197. Size: 8-1/2'' X 11''; Weight: 24# Paper. For Laser and/or Inkjet Printers.
Two-Sided Dental Icon Design Registration & History Form
4.5 out of 5 stars with 32 reviews
Item Number 4065S (Replacement Item Number 4065) Capture personal data, insurance information, medical history and more with a colorful, patient-friendly form Size: 8 1/2 x 11 Durable forms 2-sided format 28 pound ledger stock Lined sheet accommodates up to 50 patient names and arrival times Available in English or Spanish 100 two-sided registration and history forms per pad2 sided format. 28lb ledger stock. Available in English or Spanish. 100 Sheets Per Pad. 3 Pads Per Order.
CMS-1500 Laser Printer Medical Claims Form - 2,000 sheets
mpn: APPROVED OMB-0938-1197 FORM 1500 (02/12), ean: 0617689750579,
4.3 out of 5 stars with 131 reviews
This is the new approved form that Medicare accepts. Save more with this bundle of 2000 form sheets.NEW CMS 1500 Health Insurance Claim Forms (Approved 02/12) - 2000 SHEETS. 1-Part Laser Form CMS-1500 Printed in Red Ink. New Version 02/12 (APPROVED OMB-0938-1197). Size 8-1/2'' x 11'' for Laser and Inkjet Printers.
Jaxplaza Insurance Claim Form ver 02/12, White, 2,500 Sheets (CMS-1500)
4.4 out of 5 stars with 32 reviews
1 Part Laser (2,500 Single Sheets - for Laser/Inkjet Printers). 02/12 Version. Factory SealedVersion 02/12, 2,500 Sheets. Accommodates reporting of the National Provider Identifier (NPI) number. Jam-free performance Paper are printed in OCR-scannable red ink. All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form.. Approved OMB 0938-1197.
AMZfiling Patient Sign in Sheet (Green)- HIPAA Compliant, 250/Package
mpn: 18229, ean: 0041898205740,
4.8 out of 5 stars with 39 reviews
Protect patient privacy and improve record keeping for daily office visits. After patients sign in, simply remove the numbered label strip and file it away into the patient's chart. The carbon sheet transfers names to the back sheet so other patients do not see the previous patient's information.Over 5.5k patient visits accounted for. Each entry is a private label that is used for client folders. Each sheet contains a second confidential copy of the entry. HIPAA approved. 8-1/2'' W x 11'' H.
Large Folder Style Dental Continuation Record
4.7 out of 5 stars with 116 reviews
Item Number 20915 Convenient Dental Continuation Forms make it easy to keep adding to a patient records after original case history form is filled up. Size: 9 1/2 x 8 Size: 5 x 8 (folded) Buff ledger stock printed in orange ink Identical ruled format and account record columns printed on both sides for maximum spaceSize: 9 1/2 x 8. Size: 5 x 8 (folded). Identical ruled format and account record columns printed on both sides for maximum space. Pricing is for 250 records delivered. See below for
UB-04 Hospital Claim Form Laser-Cut Sheet (1,000/case)
By The Filing Supplies Shop
4.2 out of 5 stars with 114 reviews
UBO4 Medical claim forms have replaced the UB92 forms and are used by hospitals, clinics, laser surgery centers, and ambulatory surgery centers to bill medical insurance claims to the insurance carriers.UB04 / CMS 1450 Medical Claim Forms, 500 Single Sheets. These are the latest UB04 claim forms (also called CMS 1450 and formerly the UB92 form). This is the latest/newest form that accommodates reporting of the National Provider Identifier (NPI) number. Meets all Government Standards.