Blank CMS-1500 Forms
Fully updated and approved by the Centers of Medicare and Medicaid Services (CMS). CMS-1500 Form is 100% compliant and printed to exact specifications for layout, paper and ink.
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CMS-1500 Forms - Laser - 2500 Pack
CMS-1500 Laser Forms Version 02/12 are fully updated with the latest form revisions. The form is 100% compliant and printed to exact specifications for layout, paper, ink and designed for use with most laser or inkjet printers. Forms can also be handwritten.
Our forms also feature Anti-Rejection Protection™, which is guaranteed acceptance by insurance carriers for rejection proof claim filing.
Forms sold in cartons of 2,500
Imprinted CMS-1500 Window Envelopes - #10 - Self-Sealed
Imprinted CMS-1500 Envelopes are specifically designed to perfectly fit CMS-1500 Forms. Envelopes are self-seal for easier sealing and 100% compatible with UCCI requirements.
Imprinting includes: text left justified and printed in black ink, helvetica font (first line is 14-pt and all other lines are 12-pt) and logo can be added.
Imprinted orders ship within 7-10 business days
Envelopes sold in boxes of 500
Envelopes also available blank - L0237
CMS-1500 Forms w/ Catalog Envelopes
JustCMS1500Forms offers both forms and envelopes in a convenience set for a great bundle purchase. The CMS-1500 Forms Version 02/12 are fully updated with the latest form revisions and 100% compliant and printed to exact specifications for layout, paper, ink and for use with most laser printers. The catalog envelopes are specifically designed to perfectly fit CMS-1500 Forms, are self-seal for easier sealing and 100% compatible with UCCI requirements.
Save When You Bundle!
| Item | Retail Price | Bundled Price | Your Savings |
| 2500 CMS-1500 Forms | $46.95 | $31.76 | $15.19 |
| 1000 CMS-1500 Catalog Envelopes | $205.00 | $157.24 | $47.76 |
| TOTAL | $251.95 | $189.00 | $62.95 |
Sets also available with #10 envelopes - L0279
CMS-1500 Forms - Catalog Envelope
CMS-1500 Catalog Envelopes are specifically designed to perfectly fit CMS-1500 Forms. Envelopes are 100% compatible with UCCI requirements.
Envelopes sold in packs of 100
Envelopes also available imprinted - L0238I
Imprinted CMS-1500 Envelopes - #10 - Gummed
Imprinted CMS-1500 Envelopes are specifically designed to perfectly fit CMS-1500 Forms. Envelopes are gummed, 100% compatible with UCCI requirements and tinted inside for confidentiality of components.
Imprinting includes: text left justified and printed in black ink, helvetica font (first line is 14-pt and all other lines are 12-pt) and logo can be added.
Imprinted orders ship within 7-10 business days
Envelopes sold in boxes of 500
Envelopes also available blank - L0026
CMS-1500 Forms w/ #10 Window Envelopes
JustCMS1500Forms offers both forms and envelopes in convenience sets for a great bundle purchase. The CMS-1500 Forms Version 02/12 are fully updated with the latest form revisions and 100% compliant and printed to exact specifications for layout, paper, ink and for use with most laser printers. The #10 envelopes are specifically designed to perfectly fit CMS-1500 Forms, are self-seal for easier sealing, 100% compatible with UCCI requirements and tinted inside for confidentiality of components.
Note: self-seal envelopes are non-refundable
Save When You Bundle!
| Item | Retail Price | Bundled Price | Your Savings |
| 2500 CMS-1500 Forms | $46.95 | $33.46 | $13.49 |
| 2500 CMS-1500 Envelopes | $189.75 | $135.54 | $54.21 |
| TOTAL | $134.85 | $169.00 | $67.70 |
Sets sold in packs of 500, 1,000 or 2,500
Sets also available with catalog envelopes - L0288
CMS-1500 Envelopes - #10 - Self-Sealed
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.
Note: self-seal envelopes are non-refundable
Envelopes sold in boxes of 500
Envelopes also available imprinted - L0237I