Shop health insurance claim form envelopes
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Quality Park Health Claim Insurance Self Seal Catalog Envelopes, 9" x 12.5", White Wove, 100/Box (QUA54692)
Item #: 901-54692
Window envelopes for medicare form HCFA-1508 and other standard healthcare insurance forms
These durable claim form envelopes are made of 28 lbs. white wove stock
Dimensions: 9"L x 12.5"H
ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500)
Item #: 901-24581404
This CMS-1500 jumbo health care billing envelope helps reduce processing delays
500 envelopes per box
Form size: 9" x 12.5"
Quill Brand® 250/Pack Health Insurance Letter Rate Claim Window Envelope, 6" x 11-1/2", 24# White Wove, No Imprint
Item #: 901-QCENV00937
6" x 11-1/2" Envelopes, Gum Seal
24# White Wove Stock, Blank
Window size is 4-1/2" x 1-1/4"; when the flap is at the top the window is 1/2" from top and 4" from left
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
Item #: 901-CMS12LC1
Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
Custom 4-1/2" x 9" Insurance Claim Right Window Self Seal Envelopes with Security Tint, 24# White Wove, 1 Standard Ink, 250/Pack
Item #: 901-QCENV00856
4-1/2" x 9" Envelopes with Security Tint, Self Seal
24# White Wove Stock with Security Tint, Flat Ink
Window size is 4-1/2" x 1-1/2"; the window is 1/2" from the right and 1-1/2" from bottom
Custom 4-1/2" x 9" Insurance Claim Left Window Envelopes with Security Tint, 24# White Wove, 1 Standard Ink, 250 / Pack
Item #: 901-QCENV00713
4-1/2" x 9" Envelopes, Gum Seal with Security Tint
24# White Wove Stock with Security Tint, Flat Ink
Window is 4-1/4" x 1-1/2", 1-1/4" from bottom and 3/4" from left side
Quill Brand® 250/Pack ADA Dental Claim Left Window Envelope, 4-1/8" x 8-7/8", 24# White Wove, No Imprint (7QCFENV3714QNI)
Item #: 901-QCENV00936
4-1/8" x 8-7/8" Envelopes, Gum Seal
24# White Wove Stock, Blank
Window size is 3-3/4" x 3/4"; with flap at top the window is 3/4" from left and 3/4" from bottom
Custom 6" x 11-1/2" Health Insurance Letter Rate Claim Window Envelopes, 24# White Wove, 1 Standard Ink, 250 / Pack
Item #: 901-QCENV00836
6" x 11-1/2" Envelopes, Gum Seal
24# White Wove Stock, Flat Ink
Window size is 4-1/2" x 1-1/4"; when the flap is at the top the window is 1/2" from top and 4" from left
TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
Item #: 901-519727
Designed for hospitals to file a medical claim with the patient's insurance carrier
One-part health insurance forms
Contains 2500 forms per carton
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
Item #: 901-CMS12LC500
Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV)
Item #: 901-309934
Satisfy record keeping requirements with these health insurance claim forms
Number of parts: 1
Contains 500 forms per package
Adams CMS-1500 1 Part Health Insurance Claims, 100/Pack (ABF CMS1500L1V)
Item #: 901-486075
Satisfy record keeping requirements with these health insurance claim forms
Number of parts: 1
Contains 100 forms per package
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
Item #: 901-125557
Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
Custom 4-1/2" x 9" Insurance Claim Self Seal Right Window Envelopes with Security Tint, 24# Blue Wove, 1 Standard Ink, 250/Pack
Item #: 901-QCENV00725
4-1/2" x 9" Envelopes, Self Seal with Security Tint
24# Blue Wove Stock with Security Tint, Flat Ink
Window is 4-1/4" x 1-1/2", 1-1/4" from bottom and 3/4" from right side
ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5)
Item #: 901-24614845
Designed for hospitals to file a medical claim with the patient's insurance carrier
One-part health insurance forms
Printed with OCR dropout red ink on white paper
Custom 2-1/2" x 4-1/4" Standard Coin Envelopes, 24# White Wove Open End, 1 Standard Ink, 250 / Pack
Item #: 901-QCENV00881
2-1/2" x 4-1/4" Coin Envelopes (Opening on the 2-1/2" Side), Gum Seal
24# White Wove Stock, Flat Ink
250 Envelopes Per Pack
Custom 4-1/2" x 9" Insurance Claim Right Window Standard Envelopes with Security Tint, 24# White Wove, 1 Standard Ink, 250/Pack
Item #: 901-QCENV00862
4-1/2" x 9" Envelopes with Security Tint, Gum Seal
24# White Wove Stock with Security Tint, Flat Ink
Window size is 4-1/2" x 1-1/4"; window is 1/2" from right and 1-1/2" from bottom
Custom 4-1/2" x 9" Insurance Claim Peel and Seal Right Window Envelopes w/Sec Tint, 24# White Wove, 1 Standard Ink, 250 / Pack
Item #: 901-QCENV00719
4-1/2" x 9" Envelopes, Peel and Seal with Security Tint
24# White Wove Stock with Security Tint, Flat Ink
Window is 4-1/4" x 1-1/8 ", 1-1/4" from bottom and 5/8" from right
ComplyRight CMS-1500 Self Seal Security Tinted Window Envelope 9" x 12 1/2", White/Blue, 100/Pack (1500LR)
Item #: 901-1500LRQQ
Envelope holds up to 50 CMS-1500 unfolded claim forms.
Helps reduce processing delays.
Right-window reveals only the mailing address.
Custom 4-1/8" x 8-7/8" ADA Dental Claim Peel and Seal Left Window Envelopes, 24# White Wove, 1 Standard Ink, 250 / Pack
Item #: 901-QCENV00736
4-1/8" x 8-7/8" Envelopes, Peel and seal
24# White Wove Stock, Flat Ink
Window is 3/4" x 3-3/4", 5/8" from left and 5/8" from bottom
ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
Item #: 901-CMS12LC250
Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
This form was revised to align the paper form with some of the changes in the electronic healthcare claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
The most significant change was the addition of 8 diagnosis codes in field 21
TFP Self Seal Security Tinted Window Envelope 4-1/2" x 9-1/2", White, 500/Box (1500ES)
Item #: 901-1500ESQ
Self seal CMS-1500 right window envelope
HIPAA security tent, 24 lb. bond paper
Accommodates 12 folded CMS-1500 claim forms
Custom 4-1/2"x9" Insurance Claim Right Window Self Seal Envelopes with Security Tint, 24# White Wove, 2 Standard Inks, 250/Pack
Item #: 901-QCENV00858
4-1/2" x 9" Envelopes with Security Tint, Self Seal
24# White Wove Stock with Security Tint, Flat Ink
Window size is 4-1/2" x 1-1/2"; the window is 1/2" from the right and 1-1/2" from bottom
Custom 2-1/2" x 4-1/4" Coin Envelopes, 24# Blue Wove, Open End, 1 Standard Ink, 250 / Pack
Item #: 901-QCENV00667
2-1/2" x 4-1/4" Coin Envelopes, Gum Seal
24# Blue Wove Stock, Flat Ink
250 Envelopes Per Pack
