New CMS-1500 Claims Forms

Description:
The most up-to-date 02/12 version of the CMS-1500 claim form that is ICD 10 ready. Single sheet claim forms suitable for either ink jet or laser printers. Forms are completely compliant with the Medicare specifications.

Shipping:
$6.70 inside the continental US

Details:
CASE - 2,500 forms - $49.95
PACK - 100 forms - $14.95

New UB-04 Claim Forms

Description:
The most up-to-date version of the UB-04 claim form that is NPI ready. Single sheet forms suitable for either ink jet or laser printers. Forms are completely compliant with the Medicare specifications.

Shipping:
$6.70 inside the continental US

Details:
2,500 UB 04 forms - $49.95
Shipping via UPS Ground only $6.70

Envelopes for CMS-1500 Claim Forms

Please select from our two types of envelopes for use specifically with CMS-1500 insurance claim forms. Both feature Self Seal envelopes with no need for licking.

Envelope Type 1:
Jumbo 9 x 12 Envelopes
These envelopes hold multiple claim forms without folding. The right window lines up with the insurance company address field on the CMS-1500 claim form.

Envelope type 2:
#10 Sized Envelopes
Perfect for use with single, folded CMS-1500 claim forms. The window lines up with the insurance company address field on the CMS-1500 form.

Shipping:
$6.70 inside the continental US

Details:
Qty 500 #10 Self Seal Envelopes - $49.95
Qty 100 Jumbo 9 x 12 Self Seal Envelopes - $49.95
Shipping via UPS Ground only $6.70

Speedy Claims Ledger Envelopes

These #10 sized envelopes with double window envelopes are the perfect match for the Patient Statements you create using the Speedy Ledger. The windows line up with the patients address field and the remit to address field on the patient statement.

No need for licking these Self Seal envelopes!

Shipping:
$6.70 inside the continental US

Details:
Qty 500 #10 Self Seal Envelopes - $49.95
Shipping via UPS Ground