Health Forms & Systems, Inc.
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Health Forms & Systems, Inc.

 

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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

 

 
Toll-Free 800-869-6590
 
Health Forms and Systems, Inc.

Health Forms and Systems, Inc.
Nations Leading Supplier of
Medical Forms and Filing Supplies

Nationwide Delivery
(Not in Alaska, Hawaii, or Puerto Rico)
Approximately 2-3 business Days

NEW LOWER PRICING OF CMS1500 FORMS

$9.90 per M(2500 Case)
$24.75 Case
Laser Single Sheets

Call Customer Service for Volume Shipping Discounts!

15+ Boxes
50% Off Shipping

New Rx Security Pads
Free Pads
Click Here

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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!

Medical Forms & Filing Supplies
NewNew HCFA|CMS
1500 Claim Forms
  • Health Insurance Claim Forms
  • Revised HCFA|CMS 1500 forms Shipping $9.80/Case
  • 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
  • Tamper-Resistant Prescription Pads

 

 

 

HCFA | CMS 1500 | UB04 Insurance Claim Forms

  • 1 part ~ Laser HCFA|CMS 1500, $9.90 per thousand (2,500 per case)
  • 1 part ~ Continuous HCFA|CMS 1500, $9.90 per thousand (2,500 per case)
  • 2 part ~ Continuous HCFA|CMS 1500, $39.90 per thousand (1,000 per case)
  • 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)
 
HCFA | CMS 1500 Envelopes

New New HCFA | CMS 1500 Self-Seal Envelopes with
Imprinted Return Address

  • 1,000 Envelopes $59.95 per thousand
  • 2,500 Envelopes $49.95 per thousand
  • 5,000 Envelopes $42.95 per thousand

SELF - SEAL

CMS 1500 Large Envelopes

  • 300 Envelopes $53.90
  • 1000 Envelopes $139.00
  • 2500 Envelopes $339.00

 

SELF - SEAL

New UB04 Envelope

  • 1000 Envelopes $74.00
  • 2500 Envelopes $169.00
  • 5000 Envelopes $342.00
  • 10000 Envelopes $629.00

Required UB04 claim submission envelope / NUBC Oct, 2009
UB04 Enveloped can be imprinted with return address.
Call Customer Service at 1 - 800 - 869 - 6590 for details.

Patient Sign-In Forms

  • 250 sheets for $69.00

 

5,280 Sign Ins!

Notice of Privacy Practices

  • 250 sheets for $69.00

 

COMPLETE PRIVACY REQUIREMENTS by LAW

Tamper-Resistant Prescription Pads

  • Call Customer Service For Fast Order Processing (3 Days) (800) 869-6590
  • Free Shipping!

1 Part Pads - 100 per Pad
  • 10 Pads - $49.00 + 2 Pads Free
  • 20 Pads - $79.00 + 2 Pads Free
  • 40 Pads - $149.00 + 4 Pads Free

2 Part NCR w/Copy - 50 sets per Pad
  • 20 Pads - $89.00 + 4 Pads Free
  • 40 Pads - $149.00 + 4 Pads Free
  • 80 Pads - $299.00 + 8 Pads Free
We accept MasterCard, VISA, American Express, Discover, eCHECK and PayPal

Toll-free phone: (800) 869-6590
Toll-Free Fax: (800) 307-8606

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