Forms & Record Keeping

CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Front and back of the white 20 lb. bond paper are printed in red OCR ink without a sensor bar. Forms are compatible with laser printers. Detached size is 8-1/2" x 11".

Use carbonless, manifold receipt book to record money received. Safety tinting is rubbed off with any erasure. Wraparound stop card prevents write-through onto the next page. Each page has four receipt forms. Each two-part receipt includes preprinted prompts for date, payer, payer's address, payment amount, purpose of payment and recipient. A chart along the bottom of the form offers space to fill in account balance, amount paid, balance due and method of payment (cash, check or money order). Receipts are consecutively numbered. Paper sequence is originals in white and duplicates in canary.

Use carbonless manifold receipt book to record money received. Safety tinting is rubbed off with any erasure. Wraparound stop card prevents write-through onto the next page. Each page has four receipt forms. Each three-part receipt includes preprinted prompts for date, payer, payer's address, payment amount, purpose of payment and recipient. A chart along the bottom of the form offers space to fill in account balance, amount paid, balance due and method of payment (cash, check or money order). Receipts are consecutively numbered. Paper sequence is originals in white, duplicates in canary and triplicates in pink.

Use carbonless, manifold receipt book to record money received. Safety tinting is rubbed off with any erasure. Wraparound stop card prevents write-through onto the next page. Each page has four receipt forms. Each two-part receipt includes preprinted prompts for date, payer, payer's address, payment amount, purpose of payment and recipient. A chart along the bottom of the form offers space to fill in account balance, amount paid, balance due and method of payment (cash, check or money order). Receipts are consecutively numbered. Paper sequence is originals in white and duplicates in canary.

Sales Order Book features three-part carbonless forms that each details orders for up to 15 items. Wraparound back cover is attached to the back of the book to place between sets so you can prevent write-through. Order forms are consecutively numbered within each book. Each 15 lb. form offers a space at top for your company stamp. Detached size is 5-9/16" x 7-15/16". Paper sequence includes original in white, duplicate in canary and triplicate in pink.