Healthcare Forms

Healthcare Forms

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SR Direct has the critical healthcare forms documents you need!

Improve your organization's Medicare billing compliance using SR Direct's approved CMS 1500 Health Insurance Claim Forms and UB04 Hospital Claim Forms. Form features include:

Fully complies with all CMS regulatory requirements
Printed in CMS-approved Flint OCR Red J6983 ink
Cut sheet 8.5x11 laser stock, for use in normal laser printers
Flat rate UPS Ground shipping!

Order with confidence from the industry standard - Standard Register!

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Products 1-5 of 5

CMS1500 Health Insurance Claim Form Laser CMS 1500

CMS 1500 (HCFA 1500) Health Insurance Claim Form CMS1500 Laser Cut Sheet (08/05), 2500/Carton - CMSLC
Manufacturer: Standard Register

Item #: CMSLC - Health Insurance Claim Form LASER CMS1500 CUT SHEET (08/05)

CMS-compliant health insurance claim form Form code: CMS 1500 (commonly called CMS1500 or HCFA 1500) Form type: laser cut sheet For use in laser printers Sold by carton, 2,500 forms per...
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Retail: $56.16

Our Price:$37.44

UB04 Hospital Billing Claim Form LASER UB-04

Hospital Billing Claim Form UB-04 (CMS 1450, UB04) Laser Cut Sheet, 2500/Carton - UB04 LC
Manufacturer: Standard Register

Item #: UB04LC - Hospital Billing Claim Form LASER UB-04 CUT SHEET

CMS-compliant hospital billing claim form Form code: UB04 (UB-04 or CMS 1450) Form type: cut sheet For use in laser printers Sold by carton, 2,500 forms per carton ...
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Retail: $56.16

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Hospital Billing Envelope UB92 / UB04 Hospital Billing Claim Form Left Window 9 X 12 1/2", 500/Carton - 1492LL
Manufacturer: Standard Register

Item #: 1492LL - Envelope for UB92 and UB04 Hospital Billing Claim Form 9 X 12 1/2" w/ jumbo left window

Official UB04 / UB92 hospital billing claims forms Large 9 X 12 1/2" envelopes Security lined for safe mailing Features large left window Sold by the carton, 500 envelopes per carton. ...
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Retail: $158.57

Our Price:$105.71

1500LR Envelope CMS 1500 Health Insurance Claim Form

Insurance Claim Form Envelope CMS 1500 Health Insurance Claim Form Right Window 9 X 12 1/2", 500/Carton - 1500LR
Manufacturer: Standard Register

Item #: 1500LR - CMS 1500 9 X 12 1/2" Envelope with Jumbo Right Window

Official CMS1500 (CMSLC) envelopes Large 9 X 12 1/2" envelopes Security lined for safe mailing Features large right window Sold by the carton, 500 envelopes per carton. ...
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Retail: $158.57

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Medical Punched Paper 5-Hole Top, 8.5x11, 20# Stock (2500/carton)
Manufacturer: Standard Register

Item #: UMC51 - Pre-punched top 5-hole medical punched paper. For a variety of of uses in medical charting and patient record keeping.

Contains 2500 5 -hole pre-perforated cut sheets per carton.
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Retail: $68.96

Our Price:$45.98

Products 1-5 of 5