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(231 items found)
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TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
Item #: 901-2408453
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
Top sensor bar for microfiche duplication, as required in some states
OCR red ink for scanning
ComplyRight HIPAA Patient Consent and Authorization Form (A1350)
Item #: 901-398021
Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
Complies with HIPAA’s authorization requirements
Size: 8 1/2" x 11"
ComplyRight Employee Warning Notice Forms, 50/Pack (AR0395)
Item #: 901-712137
Plus, this handy form includes space for employee and supervisor signatures.
50 Pack
Size: 81/2” x 11”
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
Item #: 901-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
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
Item #: 901-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
ComplyRight Payroll Change Notice Forms (AR0394)
Item #: 901-712138
Ensures all employees have updated, current payroll records
Size: 8 1/2" X 11"
50 per pack
ComplyRight Employee Separation Forms (AR0373)
Item #: 901-712163
50 Pack
Size: 81/2” x 11”
8 1/2" x 11"
TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV)
Item #: 901-309934
Satisfy record keeping requirements with these health insurance claim forms
Number of parts: 1
Contains 500 forms per package
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
Item #: 901-125557
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
ComplyRight 2026 Time Off Request and Approval Form, 2-Part, 50 Forms/Pack (A0030)
Item #: 901-24202397
Calendar format makes it easy for employees to select and submit time off requests
Ensures a consistent request and approval process for all employees
Attorney-approved to ensure 100% compliance
ComplyRight 2026 Time Off Request and Approval Form, 2-Part, 50 Forms/Pack (A0045)
Item #: 901-24202398
Calendar format makes it easy for employees to select and submit time off requests
Ensures a consistent request and approval process for all employees
Attorney-approved to ensure 100% compliance
Adams CMS-1500 1 Part Health Insurance Claims, 100/Pack (ABF CMS1500L1V)
Item #: 901-486075
Satisfy record keeping requirements with these health insurance claim forms
Number of parts: 1
Contains 100 forms per package
ComplyRight 2026 Attendance Calendar File Folder, 25 Forms/Pack (A3050)
Item #: 901-2549040
Folder provides a calendar on front for quick and easy attendance tracking
Two pockets inside of folder for storing paper records
Attorney-approved to ensure 100% compliance
ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
Item #: 901-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
ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500)
Item #: 901-24581404
This CMS-1500 jumbo health care billing envelope helps reduce processing delays
500 envelopes per box
Form size: 9" x 12.5"
ComplyRight Notice of Privacy Practice, 100/Pack (A1349)
Item #: 901-398024
Describes how medical information about patients may be used and disclosed
Includes a Tip Sheet in each package that explains the purpose of the form, relevant laws, definitions and do's and don'ts
Size: 8 1/2" x 11"
TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
Item #: 901-519727
Designed for hospitals to file a medical claim with the patient's insurance carrier
One-part health insurance forms
Contains 2500 forms per carton
ComplyRight™ Confidential Employee Records Folder, Expanded, Pack of 25 (A0175)
Item #: 901-2549342
Made in the U.S.A of thick, long-lasting manila card stock
Developed by employment attorneys for 100% compliance
Ample space to store and keep employee hiring and employment records confidential
ComplyRight 1-Part Confidential Employee Record Folder, 25/Pack (A0503)
Item #: 901-2549341
Comprehensive employee record folder helps to ensure the safety of private employee data
Number of parts: 1
Contains 25 files per package
ComplyRight™ Confidential Personnel File Folder, Pack of 25 (A221)
Item #: 901-2549002
Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Outside of folder tracks employment history, termination and COBRA information and inside has ample space to file and keep important employee information
ComplyRight Employee Payroll & Tax Records Organizer, Pack of 25 (A0311)
Item #: 901-2549005
Package of 25 folders
Size: 11.75" x 9.5"
Capture important personnel information right on the folder
ComplyRight 2025-2026 Academic Year Attendance Calendar Cards, 50/Pack (A43005015)
Item #: 901-1949178TFP
Features an academic year calendar format (August 1 – July 31) and easy coding system
Efficient calendar format makes tracking absences quick and convenient
Reverse side includes plenty of space to record notes and warnings
ComplyRight Confidential Personnel Envelo-File, Legal Size, 25/Pack (A0731)
Item #: 901-2549007
Protects legally sensitive documents
Outside grid lets you record general employee information and benefits data directly on the folder
Attorney developed and approved to ensure 100% compliance
ComplyRight™ Employee Hiring & Employment History Folder, Pack of 25 (A3310)
Item #: 901-2548997
Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Ample space to store and keep employee hiring and employment records confidential
