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Medical Forms
UB04 Claim Form Jumbo Envelope, Left Window
As more insurance companies convert to optically scanning your claim forms, the need to mail them unfolded becomes increasingly important. When claim forms are folded, they may jam the automatic scanning equipment and delay the processing of claims. ■ Self-sealing window envelope holds up to 50 unfolded forms ■ Prevent processing delays 9" x 12½" Left Window UB-04 Available in Boxes of 500 Envelopes
Boxes of 500 Envelopes- $188.00
Blank CMS-1500 (HCFA) Form 02/12 for Laser Printers
CMS-1500 Laser Forms (Version 02/12) are: 100% compliant Printed to exact specifications for layout, paper and ink Uses soy-based black and OCR "dropout" red ink for greater scanning accuracy Designed for use with most laser or inkjet printers or can be handwritten Feature Anti-Rejection Protection™ - guaranteed acceptance by insurance carriers for rejection proof claim filing Printed on Sustainable Foresty Initiative (SFI) paper Size: 8.5" x 11" Available in Boxes of 2,500 Forms
Boxes of 2,500 Forms- $79.95
CMS-1500 Jumbo Envelope, Right Window (No Statement)
As more insurance companies convert to optically scanning your claim forms, the need to mail them unfolded becomes increasingly important. When claim forms are folded, they may jam the automatic scanning equipment and delay the processing of claims. ■ Self-sealing window envelope holds up to 50 unfolded forms ■ Prevent processing delays 9" x 12½" Right Window CMS-1500 No Wording Available in Boxes of 500 Envelopes
Boxes of 500 Envelopes- $188.00
Blank Self-Seal CMS-1500 Forms Envelope
CMS-1500 Envelopes are specifically designed to perfectly fit CMS-1500 Forms. Envelopes are self-seal for easier sealing, 100% compatible with UCCI requirements and tinted inside for confidentiality of components. #10 right window envelopes for CMS-1500 claim forms Envelopes hold up to 12 folded forms Envelope measurements: 9.5 X 4.5 Window measurements: 4.5 X 1 Window position: lower right Printed on Sustainable Foresty Initiative (SFI) paper Note: self-seal envelopes are non-refundable Available in Boxes of 500 Envelopes
Boxes of 500 Envelopes- $89.95
Blank Non-Imprinted Self-Seal CMS-1500 Catalog Envelope
CMS-1500 Catalog Envelopes are specifically designed to perfectly fit CMS-1500 Forms. Envelopes are 100% compatible with UCCI requirements. Catalog right window envelopes for CMS-1500 claim forms Envelopes holds up to 50 unfolded forms Envelope measurements: 9" X 12.5" Window measurements: 4.5" X 1.125" Window position: upper right Note: self-seal envelopes are non-refundable Available in Boxes of 500 Envelopes
Boxes of 500 Envelopes- $188.00
UB04 Claim Forms For Laser Printers
UB04 Laser Forms are fully updated with the latest form revisions. The form is 100% compliant with UCCI requirements and designed for use with most laser or inkjet printers. Form measurements: 8.5 X 11 Uses OCR "dropout" red ink for greater scanning accuracy Available in Boxes of 2,500 Forms
Boxes of 2,500 Forms- $79.95