Medical Insurance Forms and Envelopes

Medical Forms

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Forms & Envelopes
Medical Insurance Forms & Envelopes

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CMS 1500 - white with red print
UB -04 - white with red print
ADA 1985 - white with black print
ADA 1987 - white with blue print,
ADA 1990 - white with blue print,
ADA 1994 - white with blue-green print,
ADA 1999 (2000 version) -
ADA2002 white with black print
Quantity Carton Discounts Available1-5, 6-10, 11-15, 16-20, 21-25, 26-30, 31-35, 36-40

CMS 1500

UB 04

ADA 85- ADA 94

ADA 99 - 2003

Laser Sheets
CMS 1500 - 8 1/2 x 11 20# Laser Cutsheet 2500/Case
UB 04 8 1/2 x 11 20# Laser Cutsheet 2500/Case
American Dental (1985-2002) - 8 1/2 x 11 20# Laser Cutsheet 2500/Case
Continuous Forms - 1 Part
CMS 1500 - 9 1/2 x 11 20# 1 part 2500 Sets /Case
UB 04 Form - 9 1/2 x 11 20# 1 part 2500 Sets/Case
American Dental (1985-2002) - 9 1/2 x 11 20# 1 part 2500 Sets/Case
Continuous Forms - 2 Part
CMS 1500 - 9 1/2 x 11 2 part NCR 1000 Sets/Case
UB 04 9 1/2 x 11 2 part NCR White/White 1000 Sets/Case
Dental (1985-2002) 9 1/2 x 11 2 part NCR White/Canry 1000 Sets/Case

Medical Insurance Envelopes

All envelopes are security lined

Envelopes work exclusively with these forms offered on this page

Quantity Carton Discounts Available1-5, 6-10, 11-15, 16-20, 21-25, 26-30, 31-35, 36-40

UB04 - L Window

1500 - L Window

1500 - R Window

1500 - R Window 1st class

ADA 2003	CMS 1500 Window, ADA 1987-1994, ADA 2000
Double Window Envelopes	Standard Window Envelopes

CMS 1500 - 4 1/2 x 9 1/2 Security Lined - Regular Gum Closure Window (1 x 4 1/2) 4 1/4" From Left, 1 1/2" From Bottom
CMS 1500 - 4 1/2 x 9 1/2 Security Lined - Press N Stick Gum Closure Window (1 x 4 1/2) 4 1/4" From Left, 1 1/2" From Bottom
Dental 1985-1994 (1994ES) - 4 1/2 x 9 Security Lined - Press N Stick Gum Closure Window (1 x 4 1/2) 4 1/4" From Left, 1 1/2" From Bottom
Dental 2000 (2000ES) - 4 x 9 Security Lined - Press N Stick Gum Closure Window (7/8 x 5) 3 1/8" From Left, 2" From Bottom
Dental 2002 (2003ES) - 4 1/8 x 9 Security Lined - Press N Stick Gum Closure Window (7/8 x 4) 1/4" From Left, 11/16" From Bottom
CMS 1500 (1500LL) - 9 x 12 1/2 Security Lined - Press N Stick Gum Closure Window (1 1/8 x 4 1/2) 1/2" From Left, 9 7/8" From Bottom
CMS 1500 (1500LR) - 9 x 12 1/2 Security Lined - Press N Stick Gum Closure Window (1 1/8 x 4 1/2) 4" From Left, 9 7/8" From Bottom
CMS 1500 (1500RS) - 9 x 12 1/2 Security Lined - Printed 1st class only - Press N Stick Gum Closure Window (1 1/8 x 4 1/2) 4" From Left, 9 7/8" From Bottom
UB-04 (1492LL) - 9 x 12 1/2 Security Lined - Press N Stick Gum Closure Window (7/8 x 4 1/4) 3/8" From Left, 8 1/8" From Bottom

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