Nations Leading Supplier of
Medical Forms and Filing Supplies
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Nationwide Delivery
In
Approximately 2-3 business Days
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Ten Regional Warehouses for
Nationwide Delivery
(No Alaska or Hawaii)
Coldwater, Ohio
Tulare, California
Lithia Springs, Georgia
Miami, Florida
Philadelphia, Pennsylvania
Roselle, IL
Reno, NV
Charlotte, NC
Benton, AR
Minneapolis, MN
Dallas, Texas
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Toll-Free 800-869-6590 Order Online Toll-Free 800-869-6590 Order Online
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NEW CMS 1500 SELF-SEAL ENVELOPES Click Here
- Self-Seal
- Return Address Imprinted
- Security Tint
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CMS 1500 Laser (2500)
Per Case $25.75 ($10.30 per M)
Click Here
20+ Boxes - 50% Off Shipping on CMS Forms*
*excludes $48 UPS surcharge for inside delivery
Call Customer Service for Volume Shipping Discounts!
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Click Here to View Our E-Sample Kit
NEW CMS 1500 Special Bundle Package
Includes:
- Free Shipping! Free Shipping!
- 1000 CMS 1500 Laser Forms
- 500 Large CMS 1500 Envelopes
- $99.00 per Bundle!
Click Here to Order
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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 ten 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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| Medical
Forms & Filing Supplies |
 New
HCFA|CMS
1500 Claim Forms |
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- 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
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1 part ~ Laser HCFA|CMS 1500, $10.30
per thousand (2,500 per case)
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1 part ~ Continuous HCFA|CMS 1500, $12.90
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, $13.90
per thousand (2,500 per case)
- 2 part UB04 ~ Continuous, $37.90 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 $79.95 per thousand
- 2,500 Envelopes $59.95 per thousand
- 5,000 Envelopes $57.75 per thousand
SELF - SEAL
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CMS 1500 Large Envelopes
- 300 Envelopes $69.00
- 1000 Envelopes $169.00
- 2500 Envelopes $385.00
SELF - SEAL
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New UB04 Envelope
- 1000 Envelopes $89.00
- 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.
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Patient Sign-In Forms
5,280 Sign Ins!
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Notice of Privacy Practices
COMPLETE PRIVACY REQUIREMENTS by LAW |
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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
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