EASYCMS
1500 SOFTWARE for Windows
For
use with the UPDATED
CMS 1500 Form
Quantity
Price
subTotal
EASYCMS 1500 Form Filler Software©
- for the CMS 1500 form. For billing with ICD-10
For individual clinicians only . (Companies/Groups/Organizations
- see the Group Version Below) Customized Free. Delivered
As A Download.
65.00
EASYCMS 1500 Form Filler©
"Bundle" -Customized Software on CD and
500 CMS 1500 Forms. Individual Version only. For billing with ICD-10
A Value Bundle. Delivered
As A Download. Free Shipping
of forms. **Purchase
this Bundle and get the Insurance Tracker or Family Health Care Tracker
at $40.00 off their regular price.
89.50
EASYCMS 1500 "Bundle Plus" ©
- Software, Consultation, Training, Free Phone Support and 500 FREE CMS
1500 claim forms. For billing with ICD-10. Individual
Version. Customized Free. A Value Bundle.
Delivered As A Download.
Free Shipping of forms .
This includes training on the changes
to the new CMS 1500 form .
**Purchase
this Bundle and get the Insurance Tracker or Family Health Care Tracker
at $40.00 off their regular price
124.50
EASYCMS 1500 Form Filler Software©
- GROUP VERSION for the CMS 1500 form. For billing
with ICD-10. Customized Free. Delivered
As A Download.
98.50
EASYCMS
1500 SOFTWARE for the
Mac
For
the UPDATED CMS 1500 Form
Quantity
Price
subTotal
EASYCMS 1500 Form Filler Software©
- for the CMS 1500 form. For billing with ICD-10. For
individual clinicians only . (Companies/Groups/Organizations
- see the Group Version Below) Customized Free - See Below. For use
on a Mac (must have Microsoft Word)
Delivered As A Download.
81.00
EASYCMS 1500 Form Filler©
"Bundle" -Customized Software on CD and
500 CMS 1500 Forms . For billing with ICD-10. A
Value Bundle- Delivered As A Download
and Free shipping of forms .
For the Mac (must have Microsoft Word)
105.50
EASYCMS 1500 "Bundle Plus" ©
- Software, Consultation, Training, Toll-Free Support and 500 FREE claim
forms. Individual Version. For 2015 billing with ICD-10. Customized
Free - See Below. For the Mac (must
have Microsoft Word) A Value
Bundle- Delivered As A Download
and Free shipping of forms. This
includes training on the changes to the new CMS 1500 form.
138.50
EASYCMS 1500 Form Filler Software©
- GROUP VERSION for the CMS 1500 form. For
billing with ICD-10, Customized Free. For group practices
and organizations. For the Mac (must have Microsoft Word)
Delivered As A Download .
114.50
UB 04 and HCFA 485 SOFTWARE (for Windows and Macs)
Quantity
Price
subTotal
UB 04 -2015 ICD-10 Form Filler for the UB
04. Delivered As A Download.
109.00
EASY HCFA 485 Software for the HCFA/CMS
485/486/487. Delivered As
A Download.
55.00
PRACTICE
ENHANCEMENT SOFTWARE for Windows
and Macs that are also running Windows
(for all health care
-Psychology, Psychiatry, Social Work, OT, PT, Etc.)
Quantity
Price
subTotal
Insurance Tracker Software - Single
Clinician Version - for Windows Version 5
Track health insurance
authorizations and payments. Stay alert to remaining sessions
authorized and required reports. Makes managed care easier (nothing
makes it easy). Generate patient bills. You've never been
this organized. For Individual Clinicians.
only $89 . Delivered as an easy
to install download .
* Take $40.00 off the
price of this software if purchased with the CMS 1500 "Bundle"
or "Bundle Plus", (calculations at bottom of order form)
89.00
Insurance Tracker Software - Group
Version 4.3- for Windows Unlimited
Clinicians in one practice. Track health insurance authorizations and
payments. Stay alert to remaining sessions authorized and required
reports. One click reports for each clinician or group practice. Create
custom patient bills in just a few clicks. It's never been this easy.
Network Capable. $149 .
Delivered As A Download.
* Take $40.00 off the
price of this software if purchased with the Updated CMS 1500 "Bundle"
or "Bundle Plus", or Group Version (calculations at bottom
of order form)
149.00
Insurance Tracker Software - Biller's
Version 4.3 - for Windows Unlimited
Clinicians in multiple practices. Track health insurance authorizations
and payments. Stay alert to remaining sessions authorized and
required reports. One click reports for each clinician. Create custom
patient bills in just a few clicks. It's never been this easy. Network
Capable. $149 .
Delivered
As A Download.
* Take $40.00 off the price of this software if purchased with
the Updated CMS 1500 "Bundle" or "Bundle Plus",
or Group Version (calculations at bottom of order form)
149.00
Family Health Care Tracker Software
- for Windows
One-click summary reports
on every past medical appointment for you and each member of your family
including dates, procedures, dx, and follow ups. With built-in, pre-populated
drop down menus you can add to, sort data by family member. See appointment
dates, reason for visit, diagnosis, treatment and follow up. In two
mouse clicks retrieve all colonoscopy dates or eye exams or mammograms
or PSAs or vaccinations or dental cleanings, etc., in a clear, organized,
printable report. See all future scheduled appointments for your family
in one report. Print your current medication list to take to an appointment.
Get a printout of your relevant family medical history. Get a summary
of all of your copay or deductible payments for any time period you
request. Keep all clinician phones nos. and email addresses in one location
for easy access. $39.50
Delivered As A Download.
39.50
INSURANCE
CLAIM FORMS - from prices have not changed. Shipping costs
have increased.
Note
that all of our forms are 100% compliant, printed to exact specs for
margins, layout, paper type and ink color.
And we guarantee their compatibility with our software.
S hipping
automatically calculated if Javascript Enabled
Quantity
Price
subTotal
500 updated CMS
1500 Forms (laser cut sheets for inkjet or laser printers) -
CMS 1500 forms no longer contain Bar-Codes
21.50
+ 12.50 S&H each
1000 updated CMS 1500 Forms (laser cut
sheets for inkjet or laser printers)
33.50
+ 12.50 S&H each
Please remember to
add shipping and tax (MA residents only) if you are completing this
form manually
TOTAL before
discounts
AS A RESULT OF SKY
HIGH SHIPPING COSTS, WE CANNOT AT THIS TIME OFFER THE FOLLOWING PRODUCTS:
2500
(case) updated CMS 1500 Forms (laser cut sheets for inkjet or laser printers)
not
available
2500
(case) CONTINUOUS Claim Forms (continuous sheets for tractor feed/pinwheel
printers)
not
available
UB
04 Claim Forms 2500 (case) (laser cut sheets for inkjet or laser printers)
For smaller quantities (500 or 1000) contact us for pricing
not
available
Window
Envelopes 500 - Right Hand Window (#10/10.5) Correct for folded CMS
forms.
Eliminates the need to print envelopes or make labels. The insurance co.
address shows thru the window.
not
available
Window
Envelopes 500 - (9X12) - RH window. Correct for unfolded claim forms.
Eliminates the need to print envelopes or make labels. The insurance co.
address shows thru the window.
not
available
Profession:
Psychologist
Physician
Psychiatrist
Social Worker
Licensed Mental Health Counselor
Licensed Massage Therapist
Licensed Marriage and Fam Therapist
Chiropractor
Acupuncturist
Speech Pathologist
Psychiatric Nurse
Pharmacist
Surgical Assistant
Physical Therapist
Occupational Therapist
Home Health Care Provider
Medical Supply Company
Billing or Claims Service
Other click the down arrow for additional
choices
Operating System:
----
Windows XP
Windows Vista
Windows 7
Windows 8 or 8.1
Windows 10
Windows 11
Windows 98 / 2000 / ME /NT
MAC OS 7.5 or newer
click the down arrow for choices
Word Version (MICROSOFT WORD is required for the EASYCMS 1500,
UBEasy 04 and HCFA 485 products) It is NOT required for the Insurance
Tracker or the Family HealthCare Tracker
If you are using a Mac, please indicate that you have the MAC
version,
of Word, not the Windows Version
Windows Microsoft Office Word '97 -2003
Windows Microsoft Office 2007 (Word 2007)
Windows Microsoft Office 2010 (Word 2010)
Windows Microsoft Office 2013 (Word 2013)
Windows Microsoft Office 2016 (Word 2016)
Windows Microsoft Office 360/365
Windows Microsoft Office 2019
Windows Microsoft Office 2021
MAC Microsoft Word for the Mac - Part of Office 2011 or newer
click the down arrow for additional choices
Type
of Printer Name
and Model of your printer
Inkjet
Laser
Tractor Feed (pinwheel)
Program To Be Used By:
Individual Clinical Practitioner
Group Clinical Practice
Billing/Claims Service
Pharmacy, Govt. Agency,
Home Health or Day Care, Medical Supply Co.
Fire/Ambulance Service
Nursing Home, Hospital, Clinic, etc.
Other
Program Customization for the
CMS 1500 at no charge **
Supplier's Phone number for BOX 33
Supplier's Billing Name, Address, Zip (BOX 33) **
LIMIT 3 LINES , 30 CHARACTERS PER LINE (including spaces)
New CMS rules prohibit the use of symbols or punctuation
on the form. Be clear about suite or apt. nos.
** this is required info if you are purchasing
the Individual Version of EASYCMS 1500
Supplier's NPI for BOX 33
Where did you learn about our program?
Returning Customer
Google
Yahoo
MSN
AOL
ALTA VISTA
Ask Jeeves
Colleague
Other
scroll for additional choices
If Other, please specify
Any additional issues or requirements