Healthcare Forms
Improve your organization's Medicare billing compliance using Standard Register's approved CMS 1500 Health Insurance Claim Forms and UB04 Hospital Claim Forms. Form features include full compliance with all CMS regulations, printed in CMS-approved flint OCR red J6983 ink, flat rate UPS ground shipping! Order with confidence from the industry standard - Standard Register.
Products 1-9 of 9
Availability: In Stock
Standard Register
Item #: UB042 -
CMS 1450/UB-04 Hospital Claim Form 2-Part Continuous . Paper type: White/White. Sold in quantities of 1000/Ctn. Paper size: 9-1/2" x 11".
Availability: In Stock
Standard Register
Item #: UB041 -
CMS 1450/UB-04 Hospital Claim Form 1-Part Continuous . Paper type: White. Sold in quantities of 2500/Ctn. Paper size: 9-1/2" x 11".
Availability: In Stock
Standard Register
Item #: CMS12W2 -
CMS-1500 (02-12) 2-Part Continuous. Paper type: White/White. Sold in quantities of 1000/Ctn. Paper size: 9-1/2" x 11".
Availability: In Stock
Standard Register
Item #: CMS122 -
CMS-1500 (02-12) 2-Part Continuous. Paper type: White/Canary. Sold in quantities of 1000/Ctn. Paper size: 9-1/2" x 11".
Availability: In Stock
Standard Register
Item #: CMS121 -
CMS-1500 (02-12) 1-Part Continuous. Paper type: White. Sold in quantities of 2500/Ctn. Paper size: 9-1/2" x 11".
Availability: In Stock
Standard Register
Item #: CMS12LC -
CMS-1500 (02-12) Laser Cutsheet. Paper type: White. Sold in quantities of 2500/Ctn. Paper size: 8-1/2" x 11".
Availability: In Stock
Standard Register
Item #: 1492LL -
Official UB04 / UB92 hospital billing claims forms Large 9 X 12 1/2" envelopes Security lined for safe mailing Features large left window Sold by the carton, 500 envelopes per carton.
Availability: In Stock
Standard Register
Item #: 1500LR -
Official CMS1500 (CMSLC) envelopes Large 9 X 12 1/2" envelopes Security lined for safe mailing Features large right window Sold by the carton, 500 envelopes per carton.