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Medical & Insurance Forms - 35 - Mega Sale! Save up to 22%


Mega Sale! Up to 22% off on Medical & Insurance Forms at Enjoy Bit Coins. Top brands include Tops, The Filing Supplies Shop, Paris Business, BD, Unknown, & Covidien. Hurry! Limited time offers. Offers valid only while supplies last.



Centers for Medicare and Medicaid Services Forms, 3000 Forms, Sold as 1 Carton
Centers for Medicare and Medicaid Services Forms, 3000 Forms, Sold as 1 Carton
By Tops
In Stock
$122.59
$96.10
You Save: 22%
4.4 out of 5 stars with 31 reviews
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medica...


CMS-1500 Form,2 Part Continuous,8-1/2 quot;x11 quot;,1500 Sets/CT
CMS-1500 Form,2 Part Continuous,8-1/2 quot;x11 quot;,1500 Sets/CT
By Tops
In Stock
$137.49
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medica...


CMS-1500 Form,2 Part Continuous,8-1/2 quot;x11 quot;,1500 Sets/CT
CMS-1500 Form,2 Part Continuous,8-1/2 quot;x11 quot;,1500 Sets/CT
By Tops
In Stock
$117.54
$91.20
You Save: 22%

mpn: 50124R,

4.0 out of 5 stars with 50 reviews
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medica...


CMS-1500 Form,1 Part Continuous,8-1/2 quot;x11 quot;,3000 Sets/CT
CMS-1500 Form,1 Part Continuous,8-1/2 quot;x11 quot;,3000 Sets/CT
By Tops
In Stock
$124.57

mpn: 50122R,

Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medica...


UB-04 Hospital Claim Form 5-Part Continuous (500/case)
UB-04 Hospital Claim Form 5-Part Continuous (500/case)
In Stock
$101.81

mpn: UB045,

UB-04 Hospital Claim Form 5-Part Continuous (500/case) Printed in OCR red "dropout" ink; Carbonless Environmental Paper Alliance (EPA) Recycled Paper (All White); 500/case...


Tops CMS Health Insurance Claim Form with Sensor Bar,11'' x 8.5'' Form Size - 250 / Pack
Tops CMS Health Insurance Claim Form with Sensor Bar,11" x 8.5" Form Size - 250 / Pack
By Tops
SKU: #TOP50135R
In Stock
$5,947.20

sku: TOP50135R, mpn: 50135R, ean: 0025932501357,

Tops CMS Health Insurance Claim Form with Sensor Bar 11" x 8.5" Form Size 250 / Pack...


UB04 Claim Forms, 8 1/2 x 11, 2500 Forms
UB04 Claim Forms, 8 1/2 x 11, 2500 Forms
In Stock
$106.75

mpn: PRB05108, ean: 0031112570839,

UB04 Claim Forms, 8 1/2 x 11, 2500 Forms...


UB04 Claim Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 Forms
UB04 Claim Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 Forms
In Stock
$118.77

mpn: PRB05109, ean: 0021112812398,

UB04 Claim Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 Forms...


Paris Business 05108 UB04 Claim Forms, 8 1/2 x 11, 2500 Forms
Paris Business 05108 UB04 Claim Forms, 8 1/2 x 11, 2500 Forms
In Stock
$100.05
$94.64
You Save: 5%

mpn: Paris Business 05108, ean: 0801593318097,

4.9 out of 5 stars with 40 reviews
Global Product Type:Forms-Medicare/MedicaidForm Size:8 1/2 x 11Forms Per Page:1Sheet Size:8 1/2 x 11Form Quantity:2500Paper Color(s):WhitePaper Stock:20 lb.Quantity:2,500 per cartonSpecial Features:UB04 Hospital Insurance Claim FormsParis Business 05...


UB04 Claim Forms, 8 1/2 x 11, 2500 Forms, Sold as 2500 Sheet
UB04 Claim Forms, 8 1/2 x 11, 2500 Forms, Sold as 2500 Sheet
In Stock
$118.98
$118.20

mpn: PLX393388, ean: 0636123933880,

Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 2500; Sheet Size: 8 1/2 x 11.Government regulated heal...


TOPS Billing Forms,Continuos,1-Part,20 lb.,9-1/2''x11'',2500/CT,WE (59770R)
TOPS Billing Forms,Continuos,1-Part,20 lb.,9-1/2"x11",2500/CT,WE (59770R)
By Tops
In Stock
$116.17
$111.00
You Save: 4%

mpn: TOP59770R,

4.4 out of 5 stars with 43 reviews
UB-04 continuous forms are designed for hospitals to file a claim with the patient's insurance company. The Health Care Finance Administration format ensures accuracy in reporting all necessary information. Forms meet the requirements of the Centers ...


Sharps Disposable Container 8.2 Quart Cs12 by BD (Becton Dickinson)
Sharps Disposable Container 8.2 Quart Cs12 by BD (Becton Dickinson)
By BD
In Stock
$165.98

mpn: na, ean: 0784922119063,

Red with regular funnel entry. Handles designed for safe movement and transportation. Hinge caps for 6.9 and 8.2 quart collectors designed to provide temporary and final closure features. Multi-use one piece....


CMS Form (2000 Pack)
CMS Form (2000 Pack)
In Stock
$128.98

mpn: PRB07102, ean: 0190259414960,

CMS Form (2000 Pack)...


BD PATIENT ROOM SHARPS COLLECTORS Sharps Collector, 5.4 Qt, Side Entry, Red, 20/cs (12 cs/plt)
BD PATIENT ROOM SHARPS COLLECTORS Sharps Collector, 5.4 Qt, Side Entry, Red, 20/cs (12 cs/plt)
In Stock
$284.46
Becton Dickinson patient room collectors are available in Becton Dickinson recyleen and Becton Dickinson standard brands and come in a variety of sizes and colors. All Becton Dickinson patient room collectors have visible fill level indicators and ha...


CONTAINER SHARPS COLL 5.4 QT Tamper Resistant Red Patient Room (20 Case)
CONTAINER SHARPS COLL 5.4 QT Tamper Resistant Red Patient Room (20 Case)
By BD
In Stock
$204.94

mpn: 305443, ean: 0721058690547,

Becton Dickinson patient room collectors are available in Becton Dickinson recyleen and Becton Dickinson standard brands and come in a variety of sizes and colors. All Becton Dickinson patient room collectors have visible fill level indicators and ha...


>Sharps dspsl cntnr 8.2 qt. Sharps Dspsl Cntnr 8.2 Qt by Becton Dickinson
>Sharps dspsl cntnr 8.2 qt. Sharps Dspsl Cntnr 8.2 Qt by Becton Dickinson
By BD
In Stock
$218.45

mpn: 2118673,

Red with regular funnel entry. Handles designed for safe movement and transportation. Hinge caps for 6.9 and 8.2 quart collectors designed to provide temporary and final closure features. Multi-use one piece....


Ub04 Hospital Insurance Claim Form, 8 1/2 X 11, Laser Printer, 2500 Forms
Ub04 Hospital Insurance Claim Form, 8 1/2 X 11, Laser Printer, 2500 Forms
By Tops
In Stock
$216.13

mpn: 59870R,

Ub04 Hospital Insurance Claim Form, 8 1/2 X 11, Laser Printer, 2500 FormsTOPS Products. 59870R. New. 100% Guarantee. Excellent Quality. ...


BD CHEMOTHERAPY SHARPS COLLECTORS Sharps Collector, 9 Gallon, Slide Top Gasketed, Yellow (not autoclavable), 8/cs
BD CHEMOTHERAPY SHARPS COLLECTORS Sharps Collector, 9 Gallon, Slide Top Gasketed, Yellow (not autoclavable), 8/cs
By BD
In Stock
$264.97

mpn: 305604,

Angled Neck Available for Easier Accessibility in Laminar Flow Hoods. Re-Sealable Plug Cap Reduces Evaporation and Splashing. Attached Locking Lid and Handles for Safe Transport. Durable, Puncture-Resistant Polypropylene Construction....


Insurance Claim Form, UB92, AMA Approved, 20 lb. Paper, OCR Red Ink, 2500/CT TOP59770
Insurance Claim Form, UB92, AMA Approved, 20 lb. Paper, OCR Red Ink, 2500/CT TOP59770
By Tops
SKU: #TOP59770R
In Stock
$113.99

sku: TOP59770R, mpn: 59770, ean: 0025932597701,

Hospitals use this form to file a medical claim. Meets Medicare and Medicaid requirements. Forms are printed to Government Printing Office standards with OCR red ink.Hospitals use this form to file a medical claim.. Meets Medicare and Medicaid requir...


COVIDIEN/MEDICAL SUPPLIES IN-ROOM CONTAINERS WITH MAILBOX-STYLE LIDS Sharps Container, Clear, Mailbox-Style Lid, 5 Qt, 11''H x 4¾''D x 10¾''W, 20/cs
COVIDIEN/MEDICAL SUPPLIES IN-ROOM CONTAINERS WITH MAILBOX-STYLE LIDS Sharps Container, Clear, Mailbox-Style Lid, 5 Qt, 11"H x 4¾"D x 10¾"W, 20/cs
In Stock
$100.59

mpn: KND85121,

Covidien SharpSafety Sharps Container, Clear, Mailbox-Style Lid, 5 Qt, 11"H x 4 3/4"D x 10 3/4"W, 20/CS. Mailbox-style lid can be kept closed when container is not in use. Economical horizontal drop maximizes container volume. Containers lock for fin...



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