Our CMS-1500 forms are
100% guaranteed against rejection
by any insurance carrier due to improper formatting, content or print quality.
Our Customer Care team is happy
to answer your questions by email or phone. Most orders ship within 24 hours and are delivered within one week.
100% Satisfaction Guarantee
We work closely with the NUCC to ensure
our CMS-1500 forms are fully compliant with all regulations. Any form you order from us comes
with an unconditional 100% money-back guarantee.
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CMS-1500 Laser Forms (Version 02/12) are up-to-date with the latest 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. Features Anti-Rejection Protection™, which is guaranteed acceptance by insurance carriers for rejection proof claim filing.
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.
Envelopes sold in boxes of 500
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
Price breaks below reflect the 100-pack option.
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.
Forms sold in cartons of 2,500
American Dental Association (ADA) Imprinted Medical Claim Forms Window Envelopes are self-sealed for easier sealing, 100% compatible with UCCI requirements and tinted inside for confidentiality of components.
Sold in boxes of 500
Self-seal envelopes are non-refundable