CMS 1500 (HCFA 1500) and UB-04 (UB92) 2500 SHEETS PER CASE 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 (UB-92) forms are generally used for Medicare Part A services. Some private insurance carriers may also accept claims filed on CMS 1500 (HCFA 1500) forms. For more information go to http://www.cms.hhs.gov or http://www.nucc.org GROUND FREIGHT PAID WITHIN THE 48 CONTIGUOUS UNITED STATES - FOR EXPEDITED OR SPECIALTY SHIPPING COSTS MUST BE CALCULATED SEPARATELY - ANY QUESTIONS CALL 800-841-0200 (If you are outside the 48 contiguous United States please call 800-841-0200 or 912-437-3192 to place your order - shipping costs for you must be calculated separately.) IF YOU CAN'T FIND YOUR PRODUCT HERE OR IF YOU NEED LARGE QUANTITY PRICING CALL 800-841-0200 NICE PEOPLE ANSWER THE PHONE (with possibly 1 exception!) BE SURE TO BOOKMARK THIS PAGE FOR YOUR RETURN VISIT :) LASER CMS 1500 (HCFA 1500) BY THE CASE2500 SHEETS PER CASE LASER CMS 1500 (S44) BY THE CASE$46.80, 3/$134.40, 8/$347.20, 10/$406.20 LASER UB-04 (UB92) BY THE CASE2500 SHEETS PER CASE LASER UB-04 (31-0987) BY THE CASE$46.80, 3/$134.40, 8/$347.20, 10/$406.20 LASER CMS 1500 (HCFA 1500) BY THE REAM (500 SHEETS) LASER CMS 1500 (S44REAM)$21.20, 2/$39.60, 3/$54.00 LASER UB-04 (UB92) BY THE REAM (500 SHEETS) LASER UB-04 (31-0987REAM)$21.20, 2/$39.60, 3/$54.00 MEDICAL CLAIM FORM ENVELOPES RETURN