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.

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  • CMS-1500 Claim FormsCMS-1500 Laser Sheets
    CMS-1500 Claim Forms
    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

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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!