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Visit our
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CMS(HCFA) and UB-04 FORMS |
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SINGLE
OR MULTIPART LASER
OR PINFED
WE'LL SHIP 'EM TODAY!
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*FREE SHIPPING! YUP*GROUND FREIGHT PAID! *(in the 48 contiguous United
States)
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(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.) |
LASER FORMAT CMS(HCFA) AND UB-04 FORMS
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*GROUND FREIGHT PAID! *(in the 48 contiguous United States) |
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(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.) |
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CONTINUOUS FEED (PINFED, DOT MATRIX) CMS 1500 AND UB-04
ONE PART CONTINUOUS (2500 SHEETS PER CASE)
1-2 cs
3-7 cs
8-9 cs
10 cs or more
CMS1500 1 partUB04 1 part$52.80/cs.$49.92/cs.$48.00/cs.$45.80/cs.*GROUND FREIGHT PAID! *(in the 48 contiguous United States)(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.)
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FOR THOSE OF YOU WRITING THESE THINGS BY HAND WE HAVE 2 PART SNAP/OUT SETS (NCR) #CMS-S - 500 SETS PER BOX
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ALL FORMS ARE PRINTED TO GOVERNMENT PRINTING OFFICE
(GPO) STANDARDS IN |
OCR RED INK (ALL PRINTING
IS IN OCR RED EXCEPT BARCODES WHICH ARE IN BLACK). |
MULTIPLE PART FORMS ARE CARBONLESS. |
ALL PRICES ARE NET - LANDED! |
*GROUND FREIGHT
PAID *(in
the 48 contiguous states) |
(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.) |
We Ship Today! (except sometimes) |
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General Info about these Medical Insurance Claim Forms
CMS(Centers for Medicare & Medicaid Services) forms were formerly known as HCFA(Health Care Financing Administration) forms.
According to CMS, a CMS1500 form (HCFA1500 form) is used by non-institutional providers to bill Medicare Part B covered services and some Medicaid services.
UB-04 forms are generally used for Medicare Part A services.
Some private insurance carriers may also accept claims filed on CMS 1500 (HCFA1500) forms.
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THE LINTON COMPANY
800-841-0200
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Where Nice People Answer The Phone!
(with possibly 1 exception)
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You can use this email address if you want to (cinfo@darientel.net), however -
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For prompt response, especially on quotes, please call us! (800-841-0200)
Our quote guy for cms (hcfa) forms is really, really old like the bubble mailer guy and he just doesn't do email - but he LOVES the phone! If you call he'll be there at least 95% of the time and if he isn't there he WILL get back with you (unless someone slips up and forgets to give him the message - sorry:) -
Beatin' it up some more:
When you email us, we must call the quote guy (cuz he doesn't do email), get your hcfa or cms quote and then email it back to you, all of which, of course, delays response time. THEN if you have more questions, you'll email us again, then we'll call him again, then we'll email you again...and so on. It could conceivably take a week or so to get a hcfa or cms quote all worked out this way. In reality, if you call him from the git-go it will save you lots of time.
Braggin' a wee bit:
It's usually pretty fun to call us - we don't do voicemail! When you call, a nice person will answer the phone (unless you get that exception and he's the last one in the phone pecking order so your chances of that are slim and most of the time he's even kinda nice).
Yep, our quote guy for hcfa or cms forms is so old he's pre-voicemail! He knows how to use the phone, though, so I guess that makes him post-Alexander Graham Bell - ha!
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LASER LABELS, INKJET LABELS AND PINFED LABELS IN JUST ABOUT ANY SIZE YOU NEED - WITH PRICES THAT FIT, TOO! WE ALSO CARRY RING BINDERS, BUBBLE MAILERS, PADDED MAILERS, INVENTORY TAGS, SHIPPING TAGS, MEDICAL CLAIM FORMS PLUS WAFER SEALS AND OTHER MAIL HOUSE SERVICE BUREAU SUPPLIES AND MORE.
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FAQs The
following is a list of Frequently Asked Questions about
the revisions to the 1500 Claim Form. The following change log shows
all changes between the 12/90 version and 08/05 version
of the form. |
© copyright
2010
The Linton Company P.O. Box 200 Meridian,
Ga 31319 All rights reserved |