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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.
Please note that all claim forms (Dental, CMS-1500, and UB-04) are the new format, required as of May 2007.
Choose a Format
ADA Dental Claim Forms
- Price: $34.95 +
- In Stock
- ADA Dental Insurance Forms (New Format)
Health Insurance Claim Forms
- Price: $29.95 +
- In Stock
- UB-04 Hospital Claim Forms (New Format)
- Price: $34.95 +
- In Stock
- CMS-1500 Claim Forms (New Format)
Claim Form Mailing Envelopes
- Price: $27.95 +
- In Stock
- UB-04 or CMS Form Mailing Envelopes
