Your Single Source for Printing
In Chicago Phone (312) 630-9230
Nation Wide Phone (800) 262-VALU
Our Fax (312)630-9231
HCFA-1450 / UB-92
HOSPITAL CLAIM FORMS
 AVAILABLE IN EITHER LASER-CUT SHEETS
OR ONE TO FOUR-PART CONTINUOUS FORMS
ON HIGH-QUALITY WHITE PAPER.
 
 

Description

Quantity/Case

Price/Case

Laser, Ink Jet, Bubble Jet Printer Compatible

2500

$35.00

1 Part Continuous

2500

$32.50

2 Part Continuous

1000

$42.95

3 Part Continuous

500

$35.00

4 Part Continuous

500

$43.10

We have HCFA 485, 486 and 487 Home
Health Care Forms  Call for Prices!

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 MEDICARE, THE HEALTH CARE FINANCE ADMINISTRATION AND THE INSURANCE INDUSTRY.





In Chicago
Phone (312) 630-9230
Nation Wide
Phone (800) 262-VALU
Fax (312)630-9231