New
CMS 1500
rev(8/05)
(Software Update Needed)-
Now Shipping learn
more.....
***HCFA-1500 Forms are now called CMS-1500!
FREE Shipping
& Fast Delivery!
|
Continuous,
Laser-Cut Sheets and Snap-Outs Forms |
|
|
| Effective
July 1, 1992, the Health Care Finance Administration
required that all insurance claims sent to Medicare be
submitted on form HCFA-1500 (Rev 12/90). The form, designed
for processing on high-speed OCR (optical character
recognition) scanning equipment, is printed in red
"drop-out" ink on special bond paper in strict
compliance with government printing specifications. This
form is available with or without a bar code, which may be
required by some health agencies. |
|
*** RUSH! - 500 HCFA
/CMS 1500 (12/90) |
|
|
|
1 Day delivery |
$49.95 |
|
|
2 Day delivery |
$44.95 |
|
5 Day delivery |
$34.95 |
|
| |
LASER
CMS's
 I
(Click Picture for larger view)
|
***CMS-1500 Laser With
NO Bar
Code (12/90)
Form #
NBL-1 |
|
|
Quantity Per Box:
2500 Sheets per box |
|
$
56.95 per box
|
Quantity |
2 Boxes |
5 Boxes |
10 Boxes |
|
Discount |
$54.95 |
$49.95 |
$48.95 |
FREE
Shipping included on above item!! |
New
CMS 1500
rev(8/05)
(Software Update Needed)-
Now Shipping learn
more.....
TRACTOR
Feed CMS's / HCFA's
 I
(Click Picture for larger view)
|
***CMS-1500
Tractor 1 Part With NO Bar
Code (12/90)
Form #
NB-1 |
|
|
Quantity Per Box:
2500 Sheets |
|
$
45.95 per box
FREE
Shipping included on above item!! |
TRACTOR
Feed CMS's - 2 Part
New
CMS 1500
rev(8/05)
(Software Update Needed)-
Now Shipping learn
more.....
I
(Click Picture for larger view)
|
***CMS-1500
Tractor 2 Part With NO Bar
Code (12/90) Paper colors: White-Canary Form #
NB-2 |
|
|
Quantity Per Box:
1000 Sets |
|
$
45.95 per box
FREE
Shipping included on above item!! |
TRACTOR
Feed CMS's - 3 Part
 I
(Click Picture for larger view)
|
***CMS-1500
Tractor 3 Part With Bar
Code (12/90) Paper colors: White-Canary-Pink
Form #
BC-3 |
|
|
Quantity Per Box:
1000 Sets |
|
$
72.95 per box
FREE
Shipping included on above item!! |
HCFA-1500 Forms are now called CMS-1500!
I
(Click Picture for larger view)
|
***CMS-1500
Tractor 3 Part With NO Bar
Code (12/90) Paper colors: White-Canary-Pink Form #
NB-3 |
|
|
Quantity Per Box:
1000 Sets |
|
$
72.95 per box
FREE
Shipping included on above item!! |
New
CMS 1500
rev(8/05)
(Software Update Needed)-
Now Shipping learn
more.....
2
Part Snap Set CMS's
 I
(Click Picture for larger view)
|
***CMS-1500
2 part Snap Set with Bar Code (12/90) Paper colors: White-Canary Form #
BCS-2 |
|
|
Quantity Per Box:
1000 Sets |
|
$
61.95 per box
FREE
Shipping included on above item!! |
TRACTOR
Feed CMS's - 2 Part White/White
 I
(Click Picture for larger view)
|
***CMS-1500
Tractor 2 Part With Bar
Code (12/90) Paper colors: White- White Form #
WBC-2 |
|
|
Quantity Per Box:
1000 Sets |
|
$
46.95 per box
FREE
Shipping included on above item!! |
HCFA-1500 Forms are now called CMS-1500!
 I
(Click Picture for larger view)
|
***CMS-1500
Tractor 2 Part With NO Bar
Code (12/90) Paper colors: White- White Form #
WNB-2 |
|
|
Quantity Per Box:
1000 Sets |
|
$
46.95 per box
FREE
Shipping included on above item!! |
New
CMS 1500
rev(8/05)
(Software Update Needed)-
Now Shipping learn
more.....
|
***
returns not accepted on the 12/90 CMS/UB-92 Forms
after June 1, 2007 |
mailto:customerservice@expressinsuranceforms.com
