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.

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.

Quick Add This product has multiple variants. The options may be chosen on the product page

ADA Dental Insurance Forms
$34.95 – $44.95
In Stock - Now Shipping
Quick Add This product has multiple variants. The options may be chosen on the product page

CMS-1500 Claim Forms
$34.95 – $104.95
In Stock - Now Shipping
Quick Add This product has multiple variants. The options may be chosen on the product page

UB-04 Hospital Claim Forms
$29.95 – $59.95
In Stock - Now Shipping
Quick Add This product has multiple variants. The options may be chosen on the product page

Insurance Claim Form Mailing Envelopes
$27.95 – $89.95
In Stock - Now Shipping

Dental and Medical Insurance Claim Forms and Mailing Envelopes

Dental and Medical Insurance Claim Forms and Mailing Envelopes

ADA Dental Insurance Forms

CMS-1500 Claim Forms

UB-04 Hospital Claim Forms

Insurance Claim Form Mailing Envelopes

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