Medical Forms

CMS-1500 Claim Forms These forms are authorized by the centers for Medicare and Medicaid Services to meet all insurance claim requirements. The revised CMS-1500 allows for reporting of the National Provider Identifier (NPI) number. Imprint your name, address and I.D. number on the snap-a-part forms. Need Envelopes? If you mail just a couple of claim forms, you can choose from our original ENV-9960 or the new ENV-9968. The ENV-9968 is designed to make mailing your claim forms faster and more efficient. If you mail several claim forms, choose the 12 1/2" x 9" large claim form envelope. Due to new postage regulations, the words "Do Not Bend" have been removed from the large Claim envelope.  Choose from either Co-Pay or Medical Cash Receipt Books.

MCF-387-2 - Snap-A-Part 2 part CMS-1500 Claim Choose & Order 250 forms $62.37 500 forms $82.74 1000 forms $102.06 2000 forms $194.46	MCF-387-1 - Part-Laser 1 part CMS-1500 Choose & Order 250 forms $38.54 500 forms $48.62 1000 forms $59.22 2000 forms $107.52	PDE-9949 - Pill/Drug Envelopes Choose & Order 250 forms $54.65 500 forms $77.98 1000 forms $111.46 2000 forms $211.78
COPA-185 - Co-Pay Medical Receipt Books 2 Part Choose & Order 5 Books $110.50 10 Books $161.03 15 Books $204.12 25 Books $289.22 Add Company Imprint- Add comma after each line item, then add to cart.	ENV-9961 - Large Claim Form Envelope Choose & Order 100 Envelopes $52.29 200 Envelopes $79.49 500 Envelopes $154.46 1000 Envelopes $249.80 Add Company Imprint- Add comma after each line item, then add to cart.	ENV-9960 - Small Claim Form Envelope Choose & Order 500 Envelopes $87.57 1000 Envelopes $104.16 2000 Envelopes $198.56 3000 Envelopes $266.19 Add Company Imprint- Add comma after each line item, then add to cart.
ENV-9968 - Small Claim Form Envelope Choose and Pay 500 envelopes $79.59 1000 envelopes $103.32 2000 envelops $197.72 3000 envelopes $290.64 Specifications: Please select from the following:	MRB-109-3- Medical Receipt Book 3 Parts Choose and Pay 5 Books $185.33 10 Books $299.59 15 Books $416.02 25 Books $608.36 Starting Number: Add Company Imprint- Add comma after each line item, then add to cart.