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Anti-Rejection Protection
Our CMS-1500 forms are
100% guaranteed against rejection
by any insurance carrier due to improper formatting, content or print quality.
Exceptional Service
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.
Have Questions? VISIT OUR FAQ PAGE >
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
Please review all imprint information carefully for errors and omissions.
Orders placed online are sent directly to printing and changes cannot be made once you checkout.
If you need assistance placing an imprinted order, please call us at 877-766-7922.
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
The below price breaks reflect pricing for the pack 100 option.
UB04 Forms - Laser - 2500 Pack
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
Imprinted ADA Claim Forms Window Envelopes - #10
American Dental Association (ADA) Imprinted Medical Claim Forms Window Envelopes are self-sealed for easier sealing, 100% compatible with UCCI requirements and tintited inside for confidentiality of components.
Note: self-seal envelopes are non-refundable
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 - L0240