Lowest Forms Prices in the Industry. We Guarantee it!

Form Type

Price Per 1000

Total Price
HCFA and UB92 1-Part Continuous Forms
     2500 1-Part Forms $18.65 $46.63
     5000 1-Part Forms $17.96 $89.80
     10000 1-Part Forms $15.95 $159.50
HCFA and UB92 1-Part Laser Forms
     2500 1-Part Forms $24.35 $60.88
     5000 1-Part Forms $23.36 $116.80
     10000 1-Part Forms $20.95 $209.50
HCFA and UB92 2-Part NCR Continuous Forms
     2500 1-Part Forms $39.55 $39.55
     5000 1-Part Forms $37.76 $188.80
     10000 1-Part Forms $35.95 $359.50

Forms FAQ:

Q. How Long will it take to receive my order?
A. Only 4-7 business days from the date of order!

Q. Can I order any quantity?
A. Absolutely! We have committed to a large volume, so you do not have to.

Q. Is this a limited special offer?
A. No, these are our everyday GUARANTEED LOW PRICES!

Q. What if I am already paying a lower price?
A. We'll MATCH IT! And give you 10% of the difference each time!
 

Submit your order in the form below, or call today to place an order and receive more information on our Medical and Dental forms prices!

Telephone:
   (800)500-8747

FAX:
   (812)468-8478

Postal address:
   201 N.W. 4th Street, Suite 103, Evansville, IN 47708

Email:
   QHA@QHAClaims.com

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Email: QHA@QHAClaims.com ©2008 Quantum Health Automation, Inc. All rights reserved