Dental and Medical Insurance Claim Forms and Mailing Envelopes
UB-04 claim forms should be used by hospitals to bill inpatient facility charges. All other services should use the CMS-1500 claim form (new 02/12 version).
All claim forms (Dental, CMS-1500, and UB-04) are the latest formats available.
Please Note: Forms and envelopes are not available for priority shipping. Standard ground shipping only.
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Price range: $34.95 through $44.95In Stock - Now Shipping
Add to Cart This product has multiple variants. The options may be chosen on the product page- Price range: $34.95 through $79.95
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Add to Cart This product has multiple variants. The options may be chosen on the product page - Price range: $29.95 through $59.95
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Add to Cart This product has multiple variants. The options may be chosen on the product page - Price range: $27.95 through $89.95
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Add to Cart This product has multiple variants. The options may be chosen on the product page
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We offer UB-04, CMS-1500 and dental insurance claim forms in a variety of printer formats. Don’t forget envelopes to go with your forms!