Insurance Claim Forms / Human Resources Forms - Blowout Sale! Save up to 66%


Blowout Sale! Up to 66% off on Insurance Claim Forms (in Human Resources Forms) at Atlas Success [407]. Top brands include Jaxplaza, Adams, Linco, ComplyRight, twiHealthcare, The Filing Supplies Shop, Next Day Labels, SuitEase, Blue Summit Supplies, A Plus, LINTON MAILING SUPPLIES, Salemax, EGPChecks, & TFP. Hurry! Limited time offers. Offers valid only while supplies last.



Patients Sign In, 8-1/2" X 11" (Blue) Carbonless Form (Lot of 125 Sheets) HIPAA Compliant.
By Jaxplaza
In Stock
$69.99

mpn: HIPAASIGNINWPSGN, ean: 0079639075901,

4.8 out of 5 stars with 28 reviews
With one simple system, you're making one HIPAA privacy worry disappear. Meet the privacy and confidentiality requirements of HIPAA with these two-part carbon-less sign-in sheets. It allows patients to sign in without seeing the information of other patients. After patients sign in, labels peel off top of form, showing no protected information!125 sheets accommodates 3,125 patient visits. Meet the privacy and confidentiality requirements of HIPAA. Two-part carbonless sign-in sheets. Allows patie


Adams UB-04 Continuous Hospital Insurance Claim Form, 1 Part, Laser, 8.5 x 11 Inches, 2500 Sets per Carton, White (59870R)
By Adams
In Stock
$198.36
$67.99
You Save: 66%

mpn: 59870R, ean: 0025932598708,

4.3 out of 5 stars with 38 reviews
Adams Business Forms provide the tools to help keep track of messages, finances, transactions, employees, taxes, and customers to businesses throughout the world. The Adams UB-04 Hospital Insurance Claim forms are used by hospitals to file claims with the patient's insurance company. Each form is printed to GPO standards in OCR ink on a 8.5 x 11 inch laser cut sheet size, with 2,500 form sets per carton. These UB-04 forms are made to replace the UB-92 forms. These business forms are the perfect


NEW CMS-1500 INSURANCE CLAIM FORMS, HCFA (Version 02/12) - 2 CASES (5000 SHEETS/FORMS)
By Linco
In Stock
$96.84

mpn: HCFACS5000, ean: 0605608567810,

4.8 out of 5 stars with 60 reviews
NEW CMS-1500 INSURANCE CLAIM FORMS, HCFA (Version 02/12) - 2 CASES (5000 SHEETS/FORMS)1-Part Laser Form CMS-1500 printed in red ink - Quantity: 5000 Forms. New Version 02/12 (APPROVED OMB-0938-1197). Medicare Accepts Only This Version 02/12 Beginning 04/04/14.. Size: 8-1/2'' x 11''; Weight: 24lb Paper. Designed For Laser & Inkjet Printers.


ComplyRight CMS 1500 Healthcare Billing Form - 02/12, 2-Part Continuous, White & Canary, 1000-Count (CMS122)
By ComplyRight
In Stock
$56.99
$55.95
You Save: 2%

mpn: CMS122,

4.4 out of 5 stars with 29 reviews
Satisfy recordkeeping requirements with cms-1500 Health insurance claim forms. Per Federal regulations, all healthcare providers must use the cms-1500 form for specific types of billing. The cms-1500 accommodates reporting of the National provider identifier, which must be used by all HIPAA-Covered entities. The form is printed with OCR ''Dropout'' Red ink on 20# paper, as per government regulations. Continuous format, 2-part 1,000 per case printed with OCR ''Dropout'' Red ink on 201# paper, as


Patient Sign-in Sheets, Bilingual 8-1/2" X 11" (Blue) Carbonless Form (Lot of 875 Sheets) HIPAA Compliant
By twiHealthcare
In Stock
$209.95

mpn: TWI-WPSGN-BIL,

4.2 out of 5 stars with 19 reviews
Each patient prints his/her name, appt time/arrival time, appointment with and if they're a new patient or if there are any changes in the phone, address or insurance since the last visit. Once the label has been removed, the information is protected behind part one, available only for office use.BUY MULTIPLE ITEMS AND SAVE ON SHIPPING!----ORDER BEFORE 2:00 PM est (M-F) SHIPS SAME DAY!. 875 sheets accommodates 21,875 patient visits. Meet the privacy and confidentiality requirements of HIPAA. All


UB-04 Hospital Claim Form Laser-Cut Sheet (2,500/case)
By The Filing Supplies Shop
In Stock
$59.99
$56.99
You Save: 5%

mpn: UB04LC,

4.1 out of 5 stars with 22 reviews
UB-04 Hospital Claim Form Laser-Cut Sheet (2,500/case) Printed in OCR red ''dropout'' ink 20# Environmental Paper Alliance (EPA) Recycled Paper (White) 2,500/case


NEW CMS 1500 Forms (02/12) (2500 Sheets) 1 Part - For Pinfeed Printers
By Jaxplaza
In Stock
$69.99

mpn: CMS1500-2500-02-12-PF,

4.6 out of 5 stars with 23 reviews
1 Part NEW CMS 1500 Forms (02/12) for Pinfeed Printers. White Pinfeed OCR scanable paper. Black and red ink. 100% compatible with UCCI requirements. This is the NEW CMS 1500 form mandated by the U.S. Centers for Medicare and Medicaid Services (CMS)1 Part CMS 1500 Form. 2500 per carton, NEW CMS 1500 forms 02/12 version. For pinfeed printers (otherwise known as tractor feed/continuous). Our CMS 1500 forms for pinfeed printers are NUCC approved. Compatible version is 100% compliant. This is the lat


Patient Sign-in Sheets, Bilingual 8-1/2" X 11" (Blue) Carbonless Form (Lot of 250 Sheets) HIPAA Compliant
By twiHealthcare
In Stock
$68.00

mpn: W-PSGN-BIL,

4.1 out of 5 stars with 40 reviews
HIPAA requires that healthcare practices take certain steps, and provides for steep penalties for those that do not comply. Our forms were created with the understanding that running a healthcare practice is a difficult job, and that added burdens practices can have serious negative effects. Best of all, the forms are easy to use, and will help meet the new federal requirements.BUY MULTIPLE ITEMS AND SAVE ON SHIPPING!----ORDER BEFORE 2:00 PM est (M-F) SHIPS SAME DAY!. 250 sheets accommodates 6,2


NEW CMS-1500 INSURANCE CLAIM FORMS, HCFA (Version 02/12) - 6 REAMS (3000 SHEETS/FORMS)
By Linco
In Stock
$66.24

mpn: HCFACS3000, ean: 0605608567773,

4.5 out of 5 stars with 24 reviews
NEW CMS-1500 INSURANCE CLAIM FORMS, HCFA (Version 02/12) - 6 REAMS (3000 SHEETS/FORMS)1-Part Laser Form CMS-1500 printed in red ink - Quantity: 3000 Forms. New Version 02/12 (APPROVED OMB-0938-1197). Medicare Accepts Only This Version 02/12 Beginning 04/04/14.. Size: 8-1/2'' x 11''; Weight: 24lb Paper. Designed For Laser & Inkjet Printers.


New CMS 1500 Claim Forms - HCFA (Version 02/12) 1000 per Box
By Next Day Labels
In Stock
$38.99

mpn: HCFA1500-1000,

4.8 out of 5 stars with 14 reviews
HCFA 1500 / CMS 1500 Claim Forms is required to use to bill Insurance / Medicare and all federal insurance, now you need to use only the New 2012 Version Each form must have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA). Developed in conjunction with all the governing agencies, including the National Uniform Claim Committee (NUCC), the National Uniform Billing Committee (NUBC), the CMS Centers for Medicare and Medicaid Services, the Health and Hu


500 Claim Forms Envelopes, for Medical Billing Insurance Claim HCFA-1508, CMS-1500 Forms, Security Inside Tinted, Self-Seal Closure~Right Window Envelope~ 9 1/2" X 4 1/8 Pack of 500
By SuitEase
In Stock
$29.98

mpn: 500 Claim Envelopes, X 4 1/8, ean: 0689511420745,

4.1 out of 5 stars with 12 reviews
Designed specifically for mailing the current HCFA 02/2012 CMS 1500 Forms. Your laser printed forms. Self-sealing, confidential, window envelopes for mailing your medical claim forms. Content stays private. Keep contents confidential with a printed lining to protect your privacy. These envelopes are self-sealing, saving you time and making mailing easier than ever. We stand behind our products completely. We understand that sometimes buying physical products can be difficult if you cannot phys


New 2500 CMS 1500 Claim Forms - Current HCFA 02/2012 Version (OMB-0938-1197) - Forms Will Line Up with Billing Software and Laser Compatible - 2500 Sheets - 8.5 Inch x 11
By Blue Summit Supplies
In Stock
$46.99

mpn: BSS-92588-306, ean: 0858213007022,

4.2 out of 5 stars with 50 reviews
CMS 1500 Forms that are compliant with all Government Standards CMS 1500 forms that are printed in the USA by US government authorized printers. These forms are completely compliant with CMS 1500 version 02/2012: All Fields, boxes, and Layout consistently line up perfectly for easy printing with billing software will no need to change settings Printed in Red Ink Per standards 1 Part forms that are Laser and InkJet Compatible All forms adhere to strict government standards developed by HIP


Buyers Guide - 2 Part -100 Qty. #8255-2017
By A Plus
In Stock
$45.00

mpn: 8255,

4.3 out of 5 stars with 12 reviews
The best of both forms! Part one is a paper copy for file. Part two is pressure sensitive and seals on all four sides to window.Size: 8- 1/2'' x 11''. Quantity: 100. 2-Part pressure sensitive. Easy window removal. Seals on all four sides to window.


Health Insurance Claim Forms, New CMS-1500, HCFA (04/14 Medicare Approved 02/12 Version), 1-Part, 8.5" x 11" 24-lb Paper - 1 CASE of 2500 Sheets/Forms
By LINTON MAILING SUPPLIES
In Stock
$46.24

mpn: LMS-44HIF-CASE, ean: 0604286269504,

4.1 out of 5 stars with 26 reviews
Health Insurance Claim Forms, New CMS-1500, HCFA (04/14 Medicare Approved 02/12 Version), 1-Part, 8.5'' x 11'' 24-lb Paper - 1 CASE OF 2500 SHEETS / FORMSNew Medicare Approved (04/14) HCFA Insurance Claim Form Version (02/12), OMB-0938-1197. 1-Part Laser Form, Front & Back in Red Ink, CMS-1500. Size: 8.5'' x 11'', White 24-lb Paper. Standard Form Designed for Laser & Inkjet Printers. One Case of 2500 Sheets / Forms, Made in USA - Linton Mailing Supplies.


CMS-1500 Version 08/05 - 1,000 Sheets. Medical Billing Claim Forms. HCFA 0805 Version
By Jaxplaza
In Stock
$40.99

mpn: CMS1500V0805, ean: 0040498034217,

4.7 out of 5 stars with 60 reviews
08/05 Version. (1,000 Sheets) The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare organizations.1-Part Laser Form CMS-1500 printed in red ink. APPROVED OMB-0938-0999 (Version 08/05). Size: 8-1/2'' X 11''; Weight: 24# Paper. For Laser and Inkjet Printers. 1,000 Sheets.


CMS 1500 / HCFA 1500 Medical Billing forms (500 Sheets)
By Salemax
In Stock
$31.99

mpn: CMS1500-500,

4.0 out of 5 stars with 25 reviews
Jam-free performance and are printed in OCR-scannable red ink. All forms are government approved CMS-1500 to serve federal programs and private insurers as a universal claim form.1 Part Laser (500 Single Sheets - for Laser/Inkjet Printers). Meets all Government Standards. Accommodates reporting of the National Provider Identifier (NPI) number. 08/05 Version - Factory Sealed.


EGP Dental Exam Record, Anatomic & Periodontics Diagrams, Horizontal Layout, Quantity 250
By EGPChecks
In Stock
$34.59

mpn: 1057, ean: 0680031508340,

4.2 out of 5 stars with 23 reviews
Record every detail of adult and primary dentition in a horizontall format ideal for file folders. Accurate charting and notes! Front features 1-32 numbering and a-t lettering, with a summary area for patient history. Back includes space for listing services and fees. Formatted for 2-hole punch. Printed on sturdy ledger stock.Price is for 250 forms - Size 8 1/2 x 11 (Inches). Formatted for 2-hole punch. Back includes space for listing services and fees. Front features 1-32 numbering and a-t lett


ComplyRight CMS 1500 Healthcare Billing Form - 02/12, Laser, 500-Count (CMS12LC500)
By ComplyRight
In Stock
$52.69

mpn: CMS12LC500,

4.2 out of 5 stars with 44 reviews
Satisfy recordkeeping requirements with cms-1500 Health insurance claim forms. Per Federal regulations, all healthcare providers must use the cms-1500 form for specific types of billing. The cms-1500 accommodates reporting of the National provider identifier, which must be used by all HIPAA-Covered entities. The form is printed with OCR ''Dropout'' Red ink on 20# paper, as per government regulations. Laser-cut sheet 500 per case printed with OCR ''Dropout'' Red ink on 201# paper, as per governme


ADA Laser Cutsheet (2012) 20# (W) 2500/CT
By Linco
In Stock
$49.99

mpn: TFP1200, ean: 0617689755444,

4.9 out of 5 stars with 28 reviews
This is the latest version of the claim/attending dentist form. It's authorized by the American Dental Association (ADA). 100% compliant to meet ADA guidelines. 2,500 per case. Laser-Cut SheetSold as 2500/Case..


For Handwritten Use - CMS 1500 / HCFA 1500 Medical Billing Forms (CMS12S) - 500 Sheets
By TFP
In Stock
$62.99

mpn: CMS12S, ean: 0609015501191,

4.3 out of 5 stars with 44 reviews
For Handwritten Use Only - CMS 1500 / HCFA 1500 Medical Billing Forms. 500 Sheets, 2-part Carbonless (NCR) Printed in OCR-scannable red ink. 02/12 Version. Meets All Government Standards.FOR HANDWRITTEN USE ONLY - CMS 1500 / HCFA 1500 Medical Billing Forms (CMS12S). 500 Single Sheets - 2 Part Handwritten. Meets All Government Standards / Accommodates NPI Number. 02/12 Version - For Handwritten Claims Only. 2 Part Carbonless (NCR) Paper - Provides Users with Duplicate Copy.



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