Eliminate the need and expense of using preprinted
medical forms. TypeHaus produces a laser version of the CMS-1450
UB-04 and CMS-1500 (08-05) Medicare claim form. TypeHaus provides
printer devices that have the forms ready to use by your application.
These devices are either internal or connect directly to the
laser printer.
Many leading hospital applications such as
Meditech, CareField, Epicare, Cerner and MISYS provide customization
to “call” the forms from printer memory to merge
with the application data. These forms include UB-92, UB-04,
CMS-1450, CMS-1500, Patient Summary Statements, Itemized Bill,
and Guarantor Bill to name a few.
Our printer hardware
devices are available for both current and discontinued
HP printers and MFP devices. For other printer manufactures
such as Toshiba, Sharp, Lanier and Konica-Minolta, our external
printer devices are delivered with the forms already
loaded.
We specialize in the building of laser
forms to support various healthcare forms printing. Our
professional services group will automate all custom and
standardized forms so your organization can utilize the
current LaserJet and MFP technology to reduce expenses for
current applications.
CMS-1500
(08-05) Approved OMB No. 0938-0999
These claim forms used to submit health insurance claims
for services provided by health care professionals to Medicare
and Medicaid, insurance companies or clearinghouses for
processing. Forms can be printed in red or black.
UB-04 CMS-1450 Approved OMB No.
0938-0997
These hospital claim forms are used to bill health insurance
claims for services provided by hospitals to Medicare and
Medicaid, insurance companies or clearinghouses for processing.
Forms can be printed in red or black.
ADA Dental Claim Form:
Authorized by the American Dental Association, this form
is used by dentists to file claims with insurance companies
on behalf of their patients. The ADA Dental Claim Form provides
a common format for reporting dental services to a patient’s
dental benefit plan. ADA policy promotes use and acceptance
of the most current version of the ADA Dental Claim Form
by dentists and payers.
