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
We accept:
