Insurance Claim Forms

The CMS 1500 Claim form is the basic paper claim form required by many health care payers for claims submitted by physicians as well as physical therapists, chiropractors and many ambulance services. Our claim forms are the latest version (02-12) and are NPI compliant.

Available in:

  • Laser (cut sheet)          $49.95 / carton of 2,500
  • Continuous (pin fed)   $54.95 / carton of 2,500

Dental claim forms and UB-04s are also available for immediate shipping

We offer claim form window envelopes for folded claims or 9”x12” window envelopes for flat mailing, both with imprinted return address.

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