CMS 1500 (HCFA 1500) AND UB-04 (UB92) FORMS

According to CMS, a CMS 1500 (HCFA 1500) form is used by non-institutional providers to bill Medicare Part B covered services and some Medicaid services. UB-04 (UB92) forms are generally used for Medicare Part A services. Some private insurance carriers may also accept claims filed on CMS 1500 (HCFA 1500) forms.

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CMS 1500 ONE PART CONTINUOUS FORMS FOR DOT MATRIX OR PINFEED PRINTERS

UB-O4 ONE PART CONTINUOUS FORMS FOR DOT MATRIX OR PINFEED PRINTERS

CMS 1500 TWO PART CONTINUOUS FORMS FOR DOT MATRIX OR PINFEED PRINTERS

UB-04 TWO PART CONTINUOUS FORMS FOR DOT MATRIX OR PINFEED PRINTERS

CMS 1500 THREE PART CONTINUOUS FORMS FOR DOT MATRIX OR PINFEED PRINTERS

UB-04 THREE PART CONTINUOUS FORMS FOR DOT MATRIX OR PINFEED PRINTERS

UB-04 FOUR PART CONTINUOUS FORMS FOR DOT MATRIX OR PINFEED PRINTERS

CMS 1500 LASER FORMS

UB-O4 LASER FORMS

2 PART SNAP/OUT SETS (NCR)

MEDICAL CLAIM FORM ENVELOPES

Are you looking for invoice paper or some other paper? Try here.

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