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Health Insurance Claim Forms

  • CMS-1500 Two-Part Carbonless Insurance Claim Form 0212

    Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Convenient and easy to use! 2-part carbonless forms on...

    $0.00
  • Claim Form Padded ADA '85

    Speed third-party billing with ADA approved claim forms. Stock: 20# carbonless sheets for mess-less information transfer Official: ADA approved insurance claim form Packaging: 5 pads per package,100 sheets per pad Choose a typestyle for your company...

    $0.00
  • Dental Claim Form Signature Labels

    Our detailed signature release labels match ADA claim forms for faster, delay-free claims processing! Handy labels! Signed self-adhesive labels can be affixed to insurance forms as needed. Please note: For use with 1990 ADA versions.

    $0.00
  • CMS-1500 Two-Part Continuous Insurance Claim Form 0212

    Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your continuous printer. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Convenient and easy to use!...

    $0.00
  • CMS-1500 Laser Pad Insurance Claim Form, Version 0212

    Speed third-party billing and manage your cash flow with this AMA and CMS approved claim formin a convenient laser pad format. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Convenient and easy to use!...

    $0.00
  • Authorized Signature Labels

    Speed up third party billing by having your patients sign signature labels ahead of time. Just peel and stick them on claim forms and submit. White, pressure sensitive material printed with red ink. 8 labels per sheet. Quantity: 256 per package

    $0.00
  • ADA 2012 Insurance Claim Form, Laser Sheet

    Speed your third-party billing with updated claim/attending dentist forms. Authorized by the American Dental Association (ADA) and ready for your laser printer, these forms keep information neat for faster, more error-free processing. Convenient and...

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  • Simplified Claim Form Signature Release Labels

    Signature release labels can easily be applied to patient insurance forms to avoid claims processing delays. Compatibility: For use with Simplified Claim Forms - Item #4049. Handy! Get a patient signature on self-adhesive labels, then affix to insurance...

    $0.00
  • CMS-1500 One-Part Continuous Insurance Claim Form 0212

    Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your continuous printer. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Convenient and easy to use!...

    $0.00