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Dental and Medical Insurance Claim Forms and Mailing Envelopes
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ADA Dental Claim Forms
- Price: $34.95 +
- In Stock
- ADA Dental Insurance Forms (New Format)
Health Insurance Claim Forms
- Price: $29.95 +
- Out of Print
- UB-92 Hospital 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-92/UB-04 or CMS Form Mailing Envelopes
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Uniform Billing Editor |
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Letter Size, Jumbo, or Self-Sealing |
| $27.95 and up |
Claim Form Info
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 CMS-1500 is the new name for HCFA-1500 claim forms.