Browse by category
    Filing Systems
    Charting Systems
    X-Ray Systems
    Accounts Receivable
         Fee Slips
         Claim Forms
         Envelopes
         Statements
         PS Mailers
         Labels
    Books & Software
    Accounts Payable
    Front Office Systems
  ACCOUNTS RECEIVABLE » CLAIM FORMS » Health Insurance Claim Forms
Health Insurance Claim Forms
[10006]
Item Description

Health Insurance Claim Forms

InHealth offers CMS/HCFA, ADA, and UB-92 forms in continuous feed, laser, and snapsets. Our claim forms are produced to meet government printing specifications and to ensure acceptance of forms. We use only the highest quality paper and OCR red “drop-out” ink.

1-part forms = 2500/case
2-part forms = 1000/case
3- and 4-part forms = 500/case



Product Options

Item# Description
C1501 HCFA-1500; 1-part, continuous without barcode
C1501BC HCFA-1500; 1-part, continuous with barcode
C1502 HCFA-1500; 2-part, continuous without barcode
C1502BC HCFA-1500; 2-part continuous with barcode
C1502BCC HCFA 1500; 2-part continuous with barcode; white/canary
F430-90 HCFA-1500; Laser 32mm without barcode
F430-90BC HCFA-1500; Laser 32mm with barcode
F431-90BC HCFA-1500; 2-part snap with barcode; white/white
WHCFACSN90 HCFA-1500; Laser 34mm without barcode
WHCFACS90 HCFA-1500; Laser 34mm with barcode
790-0208 UB-92; 1-part laser without barcode
790-0201 UB-02; 1-part continuous without barcode
790-0202 UB-92; 2-part continuous without barcode
790-0203 UB-92; 3-part continuous without barcode
790-0204 UB-92; 4-part continuous without barcode
790-0035 ADA REV94; 1-part laser
790-0037 ADA REV94; 1-part continuous
790-0036 ADA REV94; 2-part continuous


Email to a Friend
  Copyright © 2006 InHealth Record Systems InHealth Portal