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Compatible Claim Form Envelopes

CMS-1500, UB-04, ADA

Jumbo Envelopes for

CMS-1500 and UB-04 Claim Forms As more insurance companies convert to optically scanning your claim forms the need to mail them unfolded becomes increasingly important. When claim forms are folded they may jam the automatic scanning equipment and delay the processing of claims. One way to prevent these delays is to mail claim forms in our jumbo envelope. This 9” x 12-1/2” self-sealing window envelope holds up to 50 unfolded forms. Jumbo envelopes come 500 per case.

Item #1500LR - Jumbo Envelope for CMS-1500 with Right Window

Item #1500RS - Jumbo Envelope for CMS-1500, Right Window, no wording

Item #1492LL - Jumbo Envelope for UB-04 with Left Window

CMS-1500 Window Envelopes

Our traditional #10-1/2 window envelope holds up to 12 claim forms. It is available with

either a gum-seal or self-seal. Three line address on front or back of envelope in black ink is available. 500 per case.

Jumbo Envelope

Item #1500ES - Self Seal Style Item #1500E - Gum Seal Style

ADA Window Envelopes Our ADA window envelope selection oers compatibility with our entire line of Attending Dentist’s Statements. 500 per case.

Item # 2003ES - Version 2006 & 2004 Item # 2000ES - Version 2000 Item # 1994ES - Versions 1994, 1990, 1987, 1985

Window Envelope

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