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
(No Alaska or Hawaii)
Approximately 2-3 business Days

Call Customer Service for Volume Shipping Discounts!

10-39 Boxes =
50% Off Shipping

40+ Boxes =
Free Shipping

Welcome


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!


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.


Medical Forms & Filing Supplies
NewNew HCFA|CMS
1500 Claim Forms
  • 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

We have the new HCFA|CMS 1500 Forms!

HCFA | CMS 1500 | UB04 Insurance Claim Forms
  1. 1 part ~ Laser HCFA|CMS 1500, $11.90 per thousand (2,500 per case)
  2. 1 part ~ Continuous HCFA|CMS 1500, $11.90 per thousand (2,500 per case)
  3. 2 part ~ Continuous HCFA|CMS 1500, $39.90 per thousand (1,000 per case)
  4. 1 part UB04 ~ Laser/Continuous, $11.90 per thousand (2,500 per case)
  5. 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 $55.00 per thousand
  • 5,000 Envelopes $49.95 per thousand
New HCFA | CMS 1500 Envelopes

Patient Sign-In Forms

  • 250 sheets for $69.00
HIPPA Sign-in Sheets

Notice of Privacy Practices

  • 250 sheets for $69.00
Notice of Privacy Practices
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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