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TOPS UB04 Hospital Insurance Claim Form, 8 1/2 x ...

$192.58Sale $130.99

$3.93

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TOPS UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms

0 reviews

$192.58Sale $130.99

$3.93

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Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.

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CMS 1500 Claim Forms with o Sensor Bar, Continuou...

$112.44

$3.37

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CMS 1500 Claim Forms with o Sensor Bar, Continuous 2 Part, 1,500 Sets/Carton

0 reviews

$112.44

$3.37

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DETAILS: Centers for Medicare and Medicaid Services (CMS) Forms without Sensor Bar CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. Top sensor bar for microfiche duplication is...

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cms 1500 claim forms with sensor bar, continuous ...

$69.00

$2.07

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cms 1500 claim forms with sensor bar, continuous 1 part, 8 1/2x11, 3,000 forms/ctn

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$69.00

$2.07

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DETAILS: Centers for Medicare and Medicaid Services (CMS) Forms with Sensor Bar CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. Top sensor bar for microfiche duplication is...

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Health Insurance Claim Form, 1 Part

$22.17

$0.67

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Health Insurance Claim Form, 1 Part

0 reviews

$22.17

$0.67

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One-part heal insurance claim form (500) is designed for use in laser printers. Sheet Size: White. Number of Parts: Part. Recycled: No. Assembly Required: No. Color: White. Print Technology: Laser. Packaged Quantity: 50 / Pack.

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UB-92/UB-04 Hospital Claim Envelopes

$29.99

$1.20

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Staples

UB-92/UB-04 Hospital Claim Envelopes

0 reviews

$29.99

$1.20

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"UB-92/UB-04 Hospital Claim Envelopes, 9"" x 12-1/2"""

Staples

ComplyRight ADA Dental Claim Form, Laser-Cut Shee...

$29.99

$1.20

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Staples

ComplyRight ADA Dental Claim Form, Laser-Cut Sheet, 1000/Cartoon

0 reviews

$29.99

$1.20

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ComplyRight ADA Dental Claim Form, Laser-Cut Sheet, 1000/Cartoon

Staples

ComplyRight ADA Dental Claim Form, 1-Part Continu...

$23.53

$0.94

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Staples

ComplyRight ADA Dental Claim Form, 1-Part Continuous, 1000/Pack

0 reviews

$23.53

$0.94

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ComplyRight ADA Dental Claim Form, 1-Part Continuous, 1000/Pack

Staples

ComplyRight ADA ADA Dental Claim Form, 2-Part Con...

$51.54

$2.06

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Staples

ComplyRight ADA ADA Dental Claim Form, 2-Part Continuous, 1000 Box

0 reviews

$51.54

$2.06

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ComplyRight ADA ADA Dental Claim Form, 2-Part Continuous, 1000 Box

Staples

cms 1500 claim forms with o sensor bar, continuou...

$96.05

$2.88

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cms 1500 claim forms with o sensor bar, continuous 1 part, 3,000/carton (TOP50122)

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$96.05

$2.88

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CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.

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UB-04 Hospital Claim Form for Laser Printers

$65.99

$2.64

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Staples

UB-04 Hospital Claim Form for Laser Printers

0 reviews

$65.99

$2.64

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UB-04 Hospital Claim Form for Laser Printers

Staples

UB04 Hospital Insurance Claim Form, 8-1/2 x 11, 2...

$87.77

$2.63

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UB04 Hospital Insurance Claim Form, 8-1/2 x 11, 2500 Forms

0 reviews

$87.77

$2.63

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Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.

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2-Part Carbonless Dental Claim Forms

$44.99

Quill

2-Part Carbonless Dental Claim Forms

0 reviews

$44.99

"These dental forms are approved by the American Dental Association. Forms measure 8-1/2x11"" with carrier strips removed. 2-part forms are printed in green. See product specification chart for details. 1,000 per carton."

Quill

Insurance/UB04 Hospital Claim Form, 8-1/2 x 11, 2...

$61.05

$1.83

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Insurance/UB04 Hospital Claim Form, 8-1/2 x 11, 2500 Loose Forms/Carton

0 reviews

$61.05

$1.83

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UKR1008: Features: -Format: Loose Form.-Printer Compatibility: Laser.-Paper Stock: 20-lb..-Form Type: Insurance Claim.-Post-Consumer Recycled Content Percent : 0 pct.-Pre-Consumer Recycled Content Percent : 0 pct.-Sheet Size (W x H): 8 1/2 i...

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UB-04 Hospital Claim Form for Dot-Matrix Printers

$76.99

$3.08

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Staples

UB-04 Hospital Claim Form for Dot-Matrix Printers

0 reviews

$76.99

$3.08

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UB-04 Hospital Claim Form for Dot-Matrix Printers, 4-Part

Staples

UB-04 Hospital Claim Form for Dot-Matrix Printers

$115.99

$4.64

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Staples

UB-04 Hospital Claim Form for Dot-Matrix Printers

0 reviews

$115.99

$4.64

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UB-04 Hospital Claim Form for Dot-Matrix Printers, 3-Part

Staples

UB-04 Hospital Claim Form for Dot-Matrix Printers

$66.99

$2.68

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Staples

UB-04 Hospital Claim Form for Dot-Matrix Printers

0 reviews

$66.99

$2.68

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UB-04 Hospital Claim Form for Dot-Matrix Printers, 2-Part

Staples

UB-04 Hospital Claim Form for Dot-Matrix Printers

$60.99

$2.44

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Staples

UB-04 Hospital Claim Form for Dot-Matrix Printers

0 reviews

$60.99

$2.44

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UB-04 Hospital Claim Form for Dot-Matrix Printers, 1-Part

Staples

1994 Edition 1-Part Dental Claim Forms

$46.99

Quill

1994 Edition 1-Part Dental Claim Forms

0 reviews

$46.99

"These dental forms are approved by the American Dental Association. Forms measure 8-1/2x11"" with carrier strips removed. 1-part forms are printed in green. See product specification chart for details. 2,500 per carton."

Quill

1990 Edition 1-Part Dental Claim Forms

$39.99

Quill

1990 Edition 1-Part Dental Claim Forms

0 reviews

$39.99

"These forms are approved by the American Dental Association. Forms measure 8-1/2x11"" with carrier strips removed; for Dot-matrix printers. 1-part forms are printed in green. 2,500 forms per carton."

Quill

CMS Health Insurance Form 1500 Claim, 8-1/2 x 11,...

$19.54

$0.59

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CMS Health Insurance Form 1500 Claim, 8-1/2 x 11, 250/Pack, Loose Forms

0 reviews

$19.54

$0.59

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UKR1004: Features: -Format: Loose Form.-Printer Compatibility: Laser.-Paper Stock: 20-lb..-Form Type: Insurance Claim.-Post-Consumer Recycled Content Percent : 0 pct.-Pre-Consumer Recycled Content Percent : 0 pct.-Layout: One Form per Sheet.-Principal...

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ComplyRight ADA Dental Claim Form, 1-Part Contin...

$23.53

$0.94

Cashback

Staples

ComplyRight ADA Dental Claim Form, 1-Part Continuous, 2500 Box

0 reviews

$23.53

$0.94

Cashback

ComplyRight ADA Dental Claim Form, 1-Part Continuous, 2500 Box

Staples

Cardinal Brands 50135r Tops Cms Health Insurance ...

$12.40

$0.37

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Cardinal Brands 50135r Tops Cms Health Insurance Claim Form With Sensor Bar - 11 X 8.5 Form Size -

0 reviews

$12.40

$0.37

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Cms 1500 claim form is in the ama approved format. Printed front and back in red ocr ink on white letter-size 20 lb. Bond. Compatible with laser printers.

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TFP Data Systems, Hospital Claim Form (UB-04), La...

$62.99

$1.26

Cashback

OfficeMax

TFP Data Systems, Hospital Claim Form (UB-04), Laser-Cut Sheet, 2500

0 reviews

$62.99

$1.26

Cashback

UB-04 forms for Hospitals, skilled nursing, home healthcare facilities and other institutional healthcare providers Descriptions: Institution Claim. Quantity: 2500/ Box. Accommodates reporting of National Provider Identifier (NPI). Designed for...

OfficeMax

TFP Data Systems, ADA Dental Claim Form, 2-Part C...

$64.99

$1.30

Cashback

OfficeMax

TFP Data Systems, ADA Dental Claim Form, 2-Part Continuous, 1000 Box

0 reviews

$64.99

$1.30

Cashback

ADA Approved Dental Claim Forms. All claim forms officially licensed by the American Dental Association and supported by most popular dental software packages Descriptions: Dental Claim. Quantity: 1000/Box. Accommodates reporting of National Provider...

OfficeMax

TFP Data Systems, Health Insurance Claim Form (CM...

$39.99

$0.80

Cashback

OfficeMax

TFP Data Systems, Health Insurance Claim Form (CMS-1500), Laser-Cut

0 reviews

$39.99

$0.80

Cashback

The most widely used business form in America. CMS 1500 forms for private practice and anyone billing within the non-institutional medical industry. Descriptions: Private Practice Claim. Quantity: 500/ Box. Accommodates reporting of National Provider...

OfficeMax

TFP Data Systems, Health Insurance Claim Form (CM...

$29.99

$0.60

Cashback

OfficeMax

TFP Data Systems, Health Insurance Claim Form (CMS-1500), Laser-Cut

0 reviews

$29.99

$0.60

Cashback

The most widely used business form in America. CMS 1500 forms for private practice and anyone billing within the non-institutional medical industry. Descriptions: Private Practice Claim. Quantity: 250. Accommodates reporting of National Provider...

OfficeMax

TFP Data Systems, Health Insurance Claim Form (CM...

$62.99

$1.26

Cashback

OfficeMax

TFP Data Systems, Health Insurance Claim Form (CMS-1500), Laser-Cut

0 reviews

$62.99

$1.26

Cashback

The most widely used business form in America. CMS 1500 forms for private practice and anyone billing within the non-institutional medical industry. Descriptions: Private Practice Claim. Quantity: 2500/ Box. Accommodates reporting of National Provider...

OfficeMax

TFP Data Systems, Hospital Claim Form (UB-04), La...

$39.99

$0.80

Cashback

OfficeMax

TFP Data Systems, Hospital Claim Form (UB-04), Laser-Cut Sheet, 500

0 reviews

$39.99

$0.80

Cashback

UB-04 forms for Hospitals, skilled nursing, home healthcare facilities and other institutional healthcare providers Descriptions: Institution Claim. Quantity: 500/ Box. Accommodates reporting of National Provider Identifier (NPI). Designed for...

OfficeMax

TFP Data Systems, Hospital Claim Form ( UB-04), 1...

$62.99

$1.26

Cashback

OfficeMax

TFP Data Systems, Hospital Claim Form ( UB-04), 1-part Continuous

0 reviews

$62.99

$1.26

Cashback

OfficeMax

Health Care Claim Form Redi-Seal Security Window ...

$48.52

$1.46

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Health Care Claim Form Redi-Seal Security Window Envelope, #10, White, 500/box

0 reviews

$48.52

$1.46

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No. 10 1/2 envelopes with Redi-Seal feature are designed for use with Insurance Form CMS-1500 and similar forms. Redi-Seal closure requires no moisture to seal. Security tint for privacy. 24 lb.

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