AMERICAN HCFA FORMS

YOUR BEST AND FASTEST SOURCE FOR CMS, UB04, HCFA HEALTH INSURANCE CLAIM FORMS

HOME  |  CMS 1500 (HCFA 1500)  |  UB04 FORMS

SERVICES  |  CONTACT US

CMS 1500  CLAIM FORMS  (08/05 Version)
NEWEST REVISION 02/12 VERSION CMS 1500 FORMS AVAILABLE CLICK HERE

This is an Old Version -
For the 
Newest Revision HCFA 1500 Forms 12/90 Version (Click Here)

CMS 1500 CLAIM FORMS - 08/05 Version
AVAILABLE IN EITHER INDIVIDUAL SHEETS, ONE OR TWO-PART CONTINUOUS (PINFEED) FORMS AND SNAPOUT FORMS ON HIGH-QUALITY PAPER TO GOVERNMENT STANDARDS.

CMS 1500 Forms Laser Cut

Individual Sheets

CMS 1500 Forms Continuous

Continuous

CMS 1500 Forms Snapout

Snapout

CLICK IMAGES TO ENLARGE

Description
CMS 1500
 CLAIM FORMS
(Newest Revision)

Quantity/
Case

Price/
Case

TO ORDER
CONTACT US
TOLL FREE AT:
1-877-840-1500
8-5 Mon-Fri CST
OR

CLICK HERE TO

Individual
Sheets

500

$19.99

Individual
Sheets

2500

$35.00

1 Part Continuous

2500

$35.00

2 Part Continuous
1st Sheet White, 2nd Sheet White

1000

$42.95

2 Part Continuous
1st Sheet White, 2nd Sheet Canary

1000

$42.95

Snapout Version

500

$35.00

Discounts available for large quantities.  Contract pricing available.  Call for details.1-877-840-1500

ALL OUR FORMS ARE OF THE HIGHEST QUALITY, ARE PRINTED IN STRICT COMPLIANCE WITH GOVERNMENT SPECIFICATIONS AND ARE APPROVED BY CENTERS FOR MEDICARE AND MEDICAID SERVICES AND THE INSURANCE INDUSTRY.
OUR FORMS HAVE BEEN APPROVED BY THE GOVERNMENT
The American HCFA Forms division of DFL Enterprises, Inc. is an independent supplier of US Government approved claim forms and NOT an affiliate of CMS (www.cms.gov)

LOOKING FOR OTHER BUSINESS FORMS?
WE CAN HELP YOU WITH ALL YOUR BUSINESS FORM NEEDS!

TO ORDER CONTACT US TOLL FREE AT:

1-877-840-1500

OR BY FAX:    1-985-809-5788

Our Office Hours are:
  Monday - Thursday:  8am - 5pm CST
Friday:  8am - 12 noon CST

WE ACCEPT VISA, MASTERCARD
and AMERICAN EXPRESS

HOME  |  CMS 1500 (HCFA 1500)   |  UB04 FORMS
SERVICES  |  CONTACT US

Copyright © Since 1998 American HCFA Forms

124 Pine Oak Dr.
Covington, LA  70433
PHONE:  985-875-0800
E-MAIL US

Visit our Associated Websites
american hcfa forms.com
claim forms depot.com
dfl-enterprises.com
hipaa sign-in.com
UB92.net
discountclaimforms.com

Find Us on the
New Orleans Web Site Directory