QUEST Integration – CMS 1500 Form

QUEST Integration – CMS 1500 Form – Vendors

Original Effective Date:

04/01/1999

Current Effective Date:

01/01/2015

HMSA has secured special prices from local vendors for CMS 1500 forms for our participating providers. To take advantage of special rates, mention that you are an HMSA participating provider.

Company Name	Readily Available Forms	Minimum Available Quantities	Delivery	Contact Person
Business Forms Network, Inc.	2 pt. NCR (cont.) 1 pt 20# (cont.) 2 pt. Snap NCR 1 pt. Laser	1,000 2,500 250 or 1,000 500 or 2,500	Oahu: Free; 2 working days Neighbor Islands: Add shipping costs	Rita Ishizu 808-853-2202 1-800-422-6851 https://bfnhawaii808.com/
Rainbow Printers	Two pt. (carbonless) One pt. (laser) One pt. (cont.) Two pt. (cont)	1,000 2,500 2,500 1,000	Oahu: Free; 2 working days Neighbor Islands: $11	Peter Gomes 808-593-9782
Stratacom	Cut sheet One-ply cont. Two-ply cont	500 500 500	Oahu: Free; 2–5 working days Neighbor Islands: Add shipping costs	Elliot Lum 808-536-4236 https://www.stratacominc.com/
Smart Graphics	1-ply continuous 2-ply continuous laser	2,500 1,000 2,500	Oahu: Free; 2 working days Neighbor Islands: Free, but prices are slightly higher; 2-5 days	Joey Ishii 808-526-2432 ext. 23 (Oahu) 1-800-560-1181 (N.I.)

Note: Details are subject to change at any time at the discretion of the vendor.

CURRENT AS OF 08/03/2026

Revision History

Date	Nature of Revision
08/03/2026	Migrated to new platform.