AMERICAN HCFA FORMS

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

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CMS 485,486,487 (HCFA 485,486,487)  SERVICES  |  CONTACT US

 HOME HEALTH FORMS CMS 485, 486 and 487 (HCFA 485, 486, 487)

HCFA 485, 486, 487
HOME HEALTH CARE CLAIM FORMS
AHCFA 485 AND HCFA 487 FORMS ARE AVAILABLE AS 4 PART CONTINUOUS FORMS AND HCFA 486 FORMS ARE AVAILABLE AS 3 PART CONTINUOUS FORMS.

HCFA-485 Form

HCFA-486 Form

HCFA-487 Form

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Description

Quantity / Case

Price / Case

Secure Order

HCFA 485
4 Part Continuous

500

$55.00

CLICK HERE TO

HCFA 486
3 Part Continuous

1000

$75.00

HCFA 487
4 Part Continuous

500

$55.00

Discounts available for large quantities.
Contract pricing available. Call for details

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

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CMS 485,486,487 (HCFA 485,486,487)  SERVICES  |  CONTACT US

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PHONE:  985-875-0800
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claim forms depot.com
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hipaa sign-in.com
UB92.net
discountclaimforms.com

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