Medical Forms

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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 Imprinted Choose and Pay 250 forms $63.93 500 forms $84.81 1000 forms $104.61 2000 forms $199.32 3000 forms $247.97 Choose Ink Color Black Blue Green Red Blank Choose and Pay 250 forms $43.73 500 forms $61.03 1000 forms $74.80 2000 forms $147.02 3000 forms $183.18	MCF-387-1 - Part-Laser 1 part CMS-1500 Imprinted Choose and Pay 250 forms $43.73 500 forms $61.03 1000 forms $74.80 2000 forms $147.02 3000 forms $183.18 Choose Ink Color Black Blue Green Red Blank Choose and Pay 250 forms $18.30 500 forms $26.26 1000 forms $30.78 2000 forms $57.90 3000 forms $70.93	PDE-9949 - Pill/Drug Envelopes - Blank Choose and Pay 250 $54.65 500 $77.98 1000 $111.46 2000 $211.79 3000 $366.90
COPA-185 - Co-Pay Medical Receipt Books 2 Part Choose and Pay 5 books $113.35 10 books $165.05 15 books $209.22 25 books $296.45 50 books $523.06 Choose Ink Color Black Blue Green Red Starting # Blank-no company imprint Choose and Pay 5 books $79.38 10 books $115.88 15 books $146.45 25 books $207.79 50 books $366.19	ENV-9961 - Large Claim Form Envelope Choose and Pay 100 $52.29 200 $79.49 500 $151.35 1000 $249.80 Choose Ink Color Black Blue Green Red Blank - no imprint Choose and Pay 100 $29.15 200 $55.85 500 $140.88 1000 $238.78	ENV-9960 - Small Claim Form Envelope Choose and Pay 500 $89.75 1000 $106.10 2000 $205.53 3000 $272.67 5000 $414.63 Choose Ink Color Black Blue Green Red
ENV-9968 - Small Claim Form Envelope Choose and Pay 500 envelopes $99.54 1000 envelopes $129.15 2000 envelops $247.07 3000 envelopes $363.30 5000 envelopes $584.64 Choose Ink Color Black Blue Green Red Specifications: Please select from the following:	MRB-109-3- Medical Receipt Book 3 Parts Choose and Pay 5 books $189.96 10 books $307.08 15 books $426.42 25 books $623.57 50 books $1,191.91 Choose Ink Color Black Blue Green Red Starting #