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CALL CUSTOMER
SERVICE FOR VOLUME & SHIPPING
DISCOUNTS

Order Online
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Seven
Regional Warehouses for
Nationwide Delivery
(No Alaska or Hawaii)
Coldwater, Ohio
Tulare, California
Lithia Springs, Georgia
Miami, Florida
Philadelphia, Pennsylvania
Roselle, IL
Reno, NV
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Nations Leading Supplier of
Medical Forms and Filing Supplies
Nationwide Delivery
(No Alaska or Hawaii)
Approximately 2-3 business Days
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Call Customer Service for Volume Shipping Discounts!
10-39 Boxes =
50% Off Shipping
40+ Boxes =
Free Shipping
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Health Forms and Systems is one of the largest suppliers
of HCFA|CMS 1500, HIPAA forms, UB04, Superbills, and medical
filing products for the health care industry. We have been in
business since
1987. We ship throughout the United States from seven warehouse
locations. We offer toll-free
customer service and fax lines for your convenience and accept
Mastercard, Visa and American Express. Our low pricing is based
on our ability
to purchase in huge volumes for our health care customers. We
guarantee every product we deliver!
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Important
Notice Regarding the
Revised CMS-1500 Form |
As part of our continued effort to provide you
with up-to-date information on governmental legislation mandates,
we would like to inform you that CMS has announced there are incorrectly
formatted versions of the newly-revised CMS forms being sold by
print vendors.
Please note: Revised Effective
Data Notice: As of recent, CMS (Medicare) has announced the following:
July 1, 2007, as the effective date for accepting only the revised
CMS1500 (08/05) claim forms. May 23, 2007, as the effective date
for accepting only UB04 claim forms. The healthcare industry
consists of many payers (insurance companies) who will continue
to accept both old and new claim form versions. We plan to continue
offering both versions until the majority of healthcare
providers and payers are using the revised CMS1500 (08/05) and
UB04 claim forms.
Rest assured that Health Forms & Systems Forms
are 100% compliant to CMS specifications.
OLD VERSION (12/90)
Contains "Approved OMB-0938-0008 FORM CMS-1500 (12-90)" on the
bottom of the form (typically on the lower right corner) signifying
it to be the December 1990 version.
REVISED VERSION (08/05)
Contains "Approved OMB-0938-0999 FORM CMS-1500 (08-05)" on the
bottom of the form signifying it to be the August 2005 version.
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| Medical
Forms & Filing Supplies |
New
HCFA|CMS
1500 Claim Forms
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- Health Insurance Claim Forms
- Revised HCFA|CMS 1500 forms
- Old HCFA 1500 forms
- HCFA 1500|CMS Window Envelopes "Self Seal"
- HIPAA Compliance Forms
- New UB04 claim forms
- Laser & Continuous Checks
- Filing Supplies: Charts, Labels, Indexing
- Filing Equipment: Modular & Mobil Systems
- Superbills: Continuous, Pegboard, Snapsets
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HCFA
| CMS 1500 | UB04 Insurance Claim Forms
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1 part ~ Laser HCFA|CMS 1500,
$11.90
per thousand (2,500 per case)
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1 part ~ Continuous HCFA|CMS 1500,
$11.90
per thousand (2,500 per case)
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2 part ~ Continuous HCFA|CMS
1500, $39.90 per thousand (1,000 per case)
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1 part UB04 ~ Laser/Continuous, $11.90
per thousand (2,500 per case)
- 2 part UB04 ~ Continuous, $39.90 per thousand (1,000 per
case)
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| HCFA | CMS
1500 Envelopes |
New
HCFA | CMS 1500
Self-Seal Envelopes with
Imprinted Return Address
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- 1,000 Envelopes $59.95 per thousand
- 2,500 Envelopes $55.00 per thousand
- 5,000 Envelopes $49.95 per thousand
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Patient Sign-In Forms
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Notice of Privacy Practices
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