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ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
Item #: 550-CMS12LC1
Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
$39.53
Per carton
($0.04/EACH)
Tabbies 3-Part Patient Sign-in Label Forms, 125/Pack (14532)
Item #: 550-2678548
Patient sign-in label forms to sign in your patients confidentially
Form consists of three parts: a label sheet, a carbon sheet, and a log behind it
125 sheets per package
$46.99
Per pack
($0.38/EACH)
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
Item #: 550-125557
Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
$64.99
Per pack
($0.03/EACH)
Adams 3-Part Carbonless Receipt Book, 10.88" x 7.63", 100 Sets/Book (TC1182)
Item #: 550-TC1182
Carbonless soft-cover money/receipt books for general receipts
Originals are white in color and copies are canary and pink in color and made of smooth carbonless paper for convenience
Contains one 100-receipt book per pack
$8.97
Per each
Adams 2-Part Carbonless Receipt Book, 5" x 11", 200 Sets/Book (SC1152)
Item #: 550-SC1152
Money/rent receipt book for recording rent payments and other payments
White originals and canary duplicates and made of carbonless paper
Contains 200 receipts per book; four forms per page
$7.89
Per each
ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
Item #: 550-CMS12LC250
Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
This form was revised to align the paper form with some of the changes in the electronic healthcare claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
The most significant change was the addition of 8 diagnosis codes in field 21
$32.51
Per box
($0.13/EACH)
Adams® Carbonless Receipt Book, 3" x 8", 2-Part, 200 Sets/Book (SC1182)
Item #: 550-SC1182
Rent receipt books for recording monthly financial payments
Carbonless paper creates white originals and canary duplicates
Four forms per page and 50 pages; 200 forms per book
$10.97
Per each
Quill® Economy Columnar Pads for Prong Fasteners; 4 Columns, 50 Sheets/Pad, 10 Pads/Pack (95141)
Item #: 369-745804
20-lb. ledger green paper
50 numbered lines, every fifth horizontal line heavily ruled as line guide
10,000,000 units per column
$68.99
Per pack
($6.90/EACH)
New Customers
Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 505/Pack (30471D)
Item #: 550-30471D
Light Blue Background on Front
Back Is White with Printed Change Of Address & Visa & Mastercard Credit Card Payment Sections
Perforation Is 3.68 From top Of Sheet
$48.79
Per pack
($0.10/EACH)
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
Item #: 550-CMS12LC500
Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
$34.00
Per pack
($0.07/EACH)
Boorum & Pease 66 Series Record Book, 7.63" x 12.13", Blue, 250 Sheets/Book (66-500-R)
Item #: 550-66500R
Book for records and daily schedules
Blue cover with record title
Includes 500 numbered pages
$76.99
Per each
Medical Arts Press® Progress Notes; Reinforced, Top Punched, 250/Pack (20555)
Item #: 369-20555
Provides plenty of room to record patient progress and your findings at subsequent visits
Record patient name, birth date and gender
Ruled back side
$84.99
Per pack
($0.34/EACH)
ComplyRight 2025 W-2 Tax Form, 1-Part, 4-Up, 50/Pack (520950)
Item #: 550-24507940
Form W-2 provides wage and income information to your employees, the SSA, the IRS, and state and local governments
Single-part, blank front with Copies B & C Backers
For laser printers
$23.99
Per each
Adams 2-Part Carbonless Sales Orders, 8.44"L x 5.56"W, 50 Sets/Book (DC5805)
Item #: 550-196113
Sales and order books are ideal for keeping proper records of orders and sales
Business form size: 5.56"W x 8.44"L; detached: 5.56"W x 7.94"L
2-Part White/Canary Carbonless forms for accurate record keeping
$5.97
Per each
Medical Arts Press Dental Registration and History Form, 250/Pack (20605)
Item #: 369-20605
Form allows you to gather complete information from patients
Simple to fill out with individually numbered sections
Includes sections on patient information, insurance, history and more
$52.99
Per pack
($0.21/EACH)
Relizon Chargeable Time Control Journal, 20 Sets/Pack (WCTS4)
Item #: 369-WCTS4
Not imprintable
25 preshingles slips/journal sheet
Used with a portable binder
$122.99
Per box
($0.25/EACH)
Adams 3-Part Carbonless Work Orders, 8.44" x 5.56", 10 Sets/Book, /Box (TC5831-10)
Item #: 550-TC583110
Adams three-part purchase order books are perfect for recording transactions
Each color-coded set includes white, canary and pink forms for accurate record keeping
Each pack contains 10 books; containing 50 three-part sets each for a total of 500
$159.99
Per pack
($16.00/EACH)
Medical Arts Press Invoices, 8-1/2" x 11", 500 Sets/Book, 500/Pack (30465A)
Item #: 369-30465A
Solid Color Style D Laser Statements
Size: 8.5 X 11 inch
500/Package
$42.99
Per pack
($0.09/EACH)
Staples Columnar Books, 100 Pages, 6 Columns, Green, 2/Pack (217869)
Item #: 550-217869
Columnar book is ideal for accounting and record keeping
Eye-ease green-tinted paper
Includes 100 single-format pages with 6 columns
$21.49
Per pack
($10.75/EACH)
ComplyRight 2025 W-2 Tax Form Tax Form Set with Envelopes, 6-Part, 2-Up, 50/Pack (95216E)
Item #: 369-24431092
Form W-2 and transmittal Form W-3 for reporting wages and tax statements
Pre-packaged six-part form set includes copies A, B, C, D, 1, 2
For laser printers
$84.99
Per each
Solid Color Laser Statements, Style B, with Credit Card Information, Blue
Item #: 550-33176A
Credit Card Alert Helps Speed Payment - Visa & Mastercard only
Includes Patient Update
Easy-Tear Perforation Is 3.68" From top for Removal Of White Payment Stub
$28.49
Per pack
($0.06/EACH)
Medical Arts Press® Continuation Notes, White, No Punch Option
Item #: 369-20131NP
Type of form: Continuation note
500 per pack
Size: 8 1/2" x 11"
$46.99
Per pack
($0.09/EACH)
Adams 3-Part Carbonless Sales Orders, 4.19"L x 7.19"W, 50 Sets/Book, 10/Carton (TC4705-10)
Item #: 550-TC470510
Sales and order books are ideal for keeping proper records of orders and sales
Business form size: 7.19"L x 4.19"W
3-Part Carbonless forms for accurate record keeping
$33.76
Per pack
($3.38/EACH)
TOPS Employee Record Master File, 20/Pack (TOP 3280)
Item #: 550-3280Q
Employee personal file includes all you need to build a complete employee record
20 personal files per pack
Comes in manila color with blue ink
$22.49
Per pack
($1.12/EACH)
