Thank you for your interest in our products. We provide free samples on a limited basis to continental US based addresses only - reviewing each request individually. We do sell as few as 10 CMS 1500 forms economically ($2.50) to help those of you not sure this form will work for you, or if you're a very small practice that doesn't submit many claim forms. So please thoughtfully submit requests for our samples if you believe you have a valid reason to receive one for free. If you're unsure about the difference between products, a brief description of each of our most popular products is listed below. Please contact us if you need further clarification:CMS 1500 forms, general info: formerly known as HCFA 1500 forms, the new CMS 1500 forms include a space for the NPI number. Used to file medical claims to insurance carriers including Medicare, Medicaid, BCBS, etc. for standard medical procedures.CMS 1500 form - 1 part laserA single sheet of paper, used with laser or inkjet printers, but can also be hand-writtenCMS 1500 form - 2 part handwrittenA 2-part form, white and yellow paper, makes a carbon copy, can be typed or hand-writtenCMS 1500 form - 1 part pinfeedA 1-part form, with pinfeed on both sides. Otherwise known as continuous or tractor feedCMS 1500 form - 2 part pinfeedA 2-part form, with pinfeed on both sides. Otherwise known as continuous or tractor feed. Choose from white/white or white/yellow paper sequenceCMS 1500 No. 10 envelopeThe #10 window envelope developed to work with the new CMS 1500 formsCMS 1500 Catalog-Large envelopeThe large 9x12 first class window envelope with "do not bend, important documents enclosed"
UB04 forms general info: formerly known as UB92s, the new UB04s include a space for the NPI number. Used to file medical claims to insurance carriers for Medicare Part A claims, mostly used by HospitalsUB04 - 1 part laserA single sheet of paper, otherwise known as the CMS-1450, used to file hospital claimsADA Forms general info: used in dental offices. ADA stands for American Dental Association.2006 ADA Claim Form - 1 part laserA single sheet of paper, used to file dental medical claims,