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CMS 1500 (8/05) Laser Insurance Forms

  • Meets NEW CMS requirements
  • 1 part laser form
  • 8.5 x 11" cut sheet
  • 1000/box

1000/box
Item #65473701 [09-29-06]   $25.38



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CMS 1500 (8/05) 1-Part Continuous Insurance Forms

  • Meets NEW CMS requirements
  • 1 part continuous
  • 9.5 x 11" with tractor feed edges
  • 8.5 x 11" form
  • 2500/box
  • Multi-part available

2500/box
Item #35260100 [09-29-06]   $56.53



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CMS 1500 (8/05) 2-Part Continuous Insurance Forms

  • Meets NEW CMS requirements
  • 2 part continuous form (white/white)
  • 9.5 x 11" with tractor feed edges
  • 8.5 x 11" form
  • 1000/box

1000/box
Item #35262200 [09-29-06]   $52.73



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Standard #10 Medical Claim Form Envelope

  • Standard #10 size
  • 24# White stock
  • Touch & Seal flap
  • Right hand window
  • Inside Security Tint insures privacy

1000/box
Item #70070099    $84.69



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Standard Full Page CMS Claim Envelope

  • 9 X 12 1/2"
  • 24# White stock
  • Top flap opening
  • Touch & Seal flap
  • Right hand window
  • First Class

1000/box
Item #70151099    $200.54



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Progress Notes

  • Standard format for easy record keeping
  • 8.5 x 11" form
  • Two hole drilled at top and bottom
    for easy insertion into charts
  • Call for custom printing or format
  • 1000/box

1000/box
Item #88150050    $85.67



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Patient Registration

  • Gather all patient information required by insurance carriers
  • Reduce A/R by gathering accurate billing information
  • 1 part 8.5 x 11" form
  • Two hole drilled at top
  • Call for custom formats and printing
  • 1000/box

1000/box
Item #06306102    $56.90