Medical Forms
Phoenix offers a wide line of business forms for the medical industry. Health insurance claim forms (HCFA 1500), workers' compensation forms and statements. For your laser printer or continuous forms, Phoenix carries them all.

HCFA & UB-92 MEDICAL FORMS & ENVELOPES
 
HCFA

UB-92

9x12 Booklet



#10 1/2 Window

ITEM #

ITEM

SIZE

FORMAT

QTY/
CTN

PRICE/
CARTON

1.

HCFA 1500

8 ½” X 11”

LASER SHEET

2500

$ 46.50

2.

HCFA 1500

9 ½” X 11”

1-PT CONTINUOUS

2500

$ 40.00

3.

HCFA 1500

9 ½” X 11”

2-PT CONTINUOUS

1000

$ 44.50

4.

UB-92

8 ½” X 11”

LASER SHEET

2500

$ 46.50

5.

UB-92

9 ½” X 11”

1-PT CONTINUOUS

2500

$ 40.00

6.

UB-92

9 ½” X 11”

2-PT CONTINUOUS

1000

$ 44.50

7.

UB-92

9 ½” X 11”

3-PT CONTINUOUS

500

$ 36.00

8.

UB-92

9 ½” X 11”

4-PT CONTINUOUS

500

$ 44.00

9.

CLAIM ENVELOPE

9” X 12 ½”

RIGHT WINDOW

500

$ 75.00

10.

CLAIM ENVELOPE

9” X 12 ½”

LEFT WINDOW

500

$ 75.00

11

CLAIM ENVELOPE

# 10 ½”

RIGHT WINDOW

500

$ 25.00

HCFA FORMS AVAILABLE WITH OR WITHOUT BARCODE
HCFA CONTINUOUS AVAILABLE WHITE/WHITE OR WHITE/CANARY
ALL ENVELOPES ARE SELF SEAL AND HAVE SECURITY LINER

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