American HCFA Forms - your fastest source for HCFA 1500 forms, CMS 1500 forms and HIPAA Compliance forms

HCFA-1500 CLAIM FORMS
>>> OLD VERSION <<<
CLICK HERE FOR THE NEWEST VERSION CMS/HCFA-1500 FORMS

AVAILABLE IN EITHER LASER-CUT SHEETS, ONE OR TWO-PART CONTINUOUS (TRACTOR-FEED) FORMS AND SNAPOUT FORMS ON HIGH-QUALITY PAPER TO GOVERNMENT STANDARDS.
AVAILABLE WITH OR WITHOUT BAR CODE WHICH MAY BE REQUIRED BY SOME CLAIMS PROCESSING AGENCIES.




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NOTE: WE ARE NOT ACCEPTING RETURNS ON
OLD VERSION (12/90 VERSION) OF HCFA 1500 FORMS

Description		Quantity/Case	Price/Case	Secure Order
Laser, Ink Jet, Bubble Jet Printer Compatible HCFA-1500 OLD VERSION	with bar code	2500	$35.00	TO ORDER CALL US TOLL FREE AT: 1-877-840-1500
Laser, Ink Jet, Bubble Jet Printer Compatible HCFA-1500 OLD VERSION	without bar code	2500	$35.00	TO ORDER CALL US TOLL FREE AT: 1-877-840-1500
1 Part Continuous HCFA-1500 OLD VERSION	with bar code	2500	$35.00	TO ORDER CALL US TOLL FREE AT: 1-877-840-1500
1 Part Continuous HCFA-1500 OLD VERSION	without bar code	2500	$35.00	TO ORDER CALL US TOLL FREE AT: 1-877-840-1500
2 Part Continuous HCFA-1500 OLD VERSION	with bar code white/white	1000	$42.95	TO ORDER CALL US TOLL FREE AT: 1-877-840-1500
2 Part Continuous HCFA-1500 OLD VERSION	without bar code white/white	1000	$42.95	TO ORDER CALL US TOLL FREE AT: 1-877-840-1500
2 Part Continuous HCFA-1500 OLD VERSION	with bar code white/canary	1000	$42.95	TO ORDER CALL US TOLL FREE AT: 1-877-840-1500
2 Part Continuous HCFA-1500 OLD VERSION	without bar code white/canary	1000	$42.95	TO ORDER CALL US TOLL FREE AT: 1-877-840-1500
Snapout Version HCFA-1500 OLD VERSION	Bar Code only 1st Sheet White 2nd Sheet Yellow	500	$35.00	TO ORDER CALL US TOLL FREE AT: 1-877-840-1500


	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)

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