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UB04 Forms - Catalog Envelopes

L0161


UB04 Catalog Envelopes are specifically designed to perfectly fit UB04 Forms. Envelopes are 100% compatible with UCCI requirements.



Envelopes sold in packs of 100


as low as $13.26

1-Part Pinfeed CMS-1500 Forms

L0289


1-Part Pinfeed CMS-1500 Forms, version 02/12, are updated with the latest revisions. The forms are 100% compliant and printed to exact specifications for layout, paper, ink and for use with most pinfeed printers.



Forms feature Anti-Rejection Protection™ which is guaranteed acceptance by insurance carriers for rejection proof claim filing.



Forms sold in cartons of 2,500


as low as $39.95

2-Part Pinfeed CMS-1500 Forms

L0291


2-Part Carbonless Pinfeed CMS-1500 Forms (white/yellow), version 02/12, are updated with the latest revisions. The forms are 100% compliant and printed to exact specifications for layout, paper, ink and for use with most pinfeed printers.



Forms also feature Anti-Rejection Protection™, which is guaranteed acceptance by insurance carriers for rejection proof claim filing.



Forms sold in packs of 1,000


as low as $40.95

3-Part Pinfeed CMS-1500 Forms

L0292


3-Part Carbonless Pinfeed CMS-1500 Forms (white/yellow/pink), version 02/12, are updated with the latest revisions. The forms are 100% compliant and printed to exact specifications for layout, paper, ink and for use with most pinfeed printers.



Forms feature Anti-Rejection Protection™, which is guaranteed acceptance by insurance carriers for rejection proof claim filing.



Forms sold in cartons of 1,000


as low as $63.95

Laser ADA Claim Forms - Pack of 2500

L0191


American Dental Association (ADA) 2019 Medical Claim Forms for laser or inkjet printers, is fully updated with the latest form revisions. The forms are 100% compliant and printed to exact specifications for layout, paper, ink.



Forms sold in cartons of 2,500

$57.95

ADA Claim Form #10 Envelopes

L0240


American Dental Association (ADA) Medical Claim Forms Window Envelopes are self-seal, 100% compatible with UCCI requirements, and tinted inside for confidentiality of components.


Envelopes sold in boxes of 500




Note: self-seal envelopes are non-refundable


as low as $25.95

Double Window Statement or Billing Envelopes

L0017


Double Window Statement and Billing Envelopes are compatible with laser, continuous and pegboard checks and forms. Envelopes are self-seal and tinted inside for confidentiality of inside components.


Envelopes sold in boxes of 250



Note: self-seal envelopes are non-refundable


as low as $45.95
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