Billing and Insurance forms: Everything you need

Blank Laser Statements
Ideal for a variety of business, medical, legal, and educational applications, blank laser statements provide optimum results with any laser printer or copier. These can be used for account statements, invoices, billing, notices, direct mail, reports, gift certificates, and coupons.

Laser CMS/HCFA 1500 forms
CMS 1500 forms and HCFA 1500 forms are produced on high quality paper and printed in OCR red "drop out" ink to ensure efficient processing of claims. These claim forms are in strict compliance with government printing specifications and come in two quantity options:

• Shop Quantities of 1000 or Less: Laser CMS/HCFA 1500
• Shop By the Case of 2500 or More: Laser CMS/HCFA 1500 (Bulk provides significant cost savings)

Continuous & Snap Set CMS/HCFA 1500 forms
Included below are the options for these CMS 1500 and HCFA 1500 forms:

• CMS-1500 (02-12) 1-Part Continuous (W)
• CMS-1500 (02-12) 2-Part Continuous (W/C)
• CMS-1500 (02-12) 2-Part Continuous (W/W)
• CMS-1500 (02-12) 1-Part Continuous with Blown-On Label (W)
• CMS-1500 (02-12) 2-Part Continuous with Blown-On Label (W/C)
• CMS-1500 (02-12) 2-Part Snap-set (W/C)

Dental forms
The ADA Dental Claim Form provides a common format for reporting dental services to a patient's dental benefit plan. ADA policy promotes use and acceptance of the most current version of the ADA Dental Claim Form by dentists and payers, and we carry these options:

• Laser ADA Dental Claim Cutsheet (2019 Series)
• 1-Part Continuous ADA Dental Claim Form (2019 Series)

Hospital Claim forms
These forms meet all of CMSs latest printing standards and are printed in OCR-scannable red ink. FileRX.com offers a variety of Medicare and Medicaid claim forms:

• UB-04 Hospital Claim Form 1-Part Continuous
• UB-04 Hospital Claim Form 2-Part Continuous
• UB-04 Hospital Claim Form 3-Part Continuous
• UB-04 Hospital Claim Form 4-Part Continuous
• UB-04 Hospital Claim Form 5-Part Continuous
• UB-04 Hospital Claim Form Laser Cutsheet

Envelopes
We have a wide variety of medical statement envelopes in different sizes, window sizes, and window position:

• Jumbo Left Window -Self Seal Hospital UB-92
• CMS-HCFA 1500 Small Envelope
• CMS-HCFA 1500 Self Seal Small Envelope
• CMS-HCFA 1500 Imprinted Small Envelope
• CMS-HCFA 1500 Jumbo (Right Window) Envelope
• CMS-HCFA 1500 Jumbo (Right Window) Imprinted Envelope

Order billing and insurance forms now

At FileRX.com, we guarantee 100% satisfaction, the lowest prices, fast production, and secure online ordering for your billing and insurance forms.

Here’s how to order:

1. Online: You can order products, view order history and place reorders.
2. By phone (reorders only): 800-307-7717 Monday – Friday 9:00AM - 9:00PM Eastern Time.
3. By fax: 800-893-0177, 24 hours a day, 7 days a week. Click here to download our order form.
4. By mail: FileRX.com, 200 Riverside Industrial Parkway, Portland, Maine 04103.

As always, if you need our help, please call us at 800-307-7717 and our teams of experts are always happy to help you with more specific questions. We look forward to helping you with all your billing and insurance forms needs!