Adams® Health Insurance Claim Form, 2-Part, 8 1/2" x 11", 100 Sets

Adams® Health Insurance Claim Form, 2-Part, 8 1/2" x 11", 100 Sets
1 / 1
$23.99/pack

Description

    Easy-to-read forms make it easy to submit your claims

    • Form for submitting your Federal health insurance claims.
    • Compatible with laser printers.
    • Forms are printed on white paper with red ink.
    • SFI certified.

    Related Products

    ComplyRight™ CMS-1500 Health Insurance Claim Forms, Laser-Cut

    ComplyRight™ CMS-1500 Health Insurance Claim Forms, Laser-Cut

    Satisfy medical billing requirements with compliant CMS-1500 forms...
    Show More
    ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part

    ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part

    Satisfy medical billing requirements with compliant CMS-1500 forms...
    Show More
    TOPS® UB-04 Forms, 1 Part, White, 8 1/2"

    TOPS® UB-04 Forms, 1 Part, White, 8 1/2"

    Used by hospitals and institutions to file a medical claim with a ...
    Show More
    TOPS® Laser CMS Forms With Bar, 8 1/2"

    TOPS® Laser CMS Forms With Bar, 8 1/2"

    Simple-to-read, government-approved form helps you fill out CMS cl...
    Show More
    $23.99/pack