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HCFA-1500 (CMS-1500) Claim Forms - 08/05 Version

AVAILABLE IN EITHER INDIVIDUAL SHEETS, ONE OR TWO-PART CONTINUOUS (PINFEED) FORMS  OR AS SNAPOUT FORMS ON HIGH-QUALITY PAPER TO GOVERNMENT STANDARDS.

NEWEST REVISION OF CMS-1500 FORMS
02/12 Version
NOW AVAILABLE FROM OUR ON-LINE STORE

 

CMS 1500 CLAIM FORMS - 08/05 Version
AVAILABLE IN EITHER INDIVIDUAL SHEETS, ONE OR TWO-PART CONTINUOUS (PINFEED) FORMS AND SNAPOUT FORMS ON HIGH-QUALITY PAPER TO GOVERNMENT STANDARDS.

CMS 1500 Forms Laser Cut

Individual Sheets

CMS 1500 Forms Continuous

Continuous

CMS 1500 Forms Snapout

Snapout

CLICK IMAGES TO ENLARGE

Description
CMS 1500
 CLAIM FORMS
(08/05 Version)

Quantity/
Case

Price/
Case

Discontinued

Individual
Sheets

Discontinued

 

Individual
Sheets

Discontinued

 

1 Part Continuous

Discontinued

 

2 Part Continuous
1st Sheet White, 2nd Sheet White

Discontinued

 

2 Part Continuous
1st Sheet White, 2nd Sheet Canary

Discontinued

 

Snapout Version

Discontinued

 

Discounts available for large quantities.  Contract pricing available.  Call for details.1-877-840-1500

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

©2010 Medical Insurance Claim Forms

124 Pine Oak Dr., Covington, LA  70433

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

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