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Page 4 of HR Forms

   (106 Products)
All filters 106 items found
36% off
Price drop
ComplyRight Notice of Privacy Practice, 100/Pack (A1349)
ComplyRight Notice of Privacy Practice, 100/Pack (A1349)
Item #: 550-398024
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"
$35.39 Save 36%
$22.49
Per pack
12% off
Price drop
ComplyRight Federal & State Remote Worker Binder 1-Year Labor Law Service, California, English (U1200CRWCAE)
ComplyRight Federal & State Remote Worker Binder 1-Year Labor Law Service, California, English (U1200CRWCAE)
Item #: 550-2548907
FEDERAL COMPLIANCE ALERT: In October 2022, the EEOC issued a new mandatory “Know Your Rights” posting to replace the previous EEOC workplace posting. Most employers with 15+ employees must comply immediately. All ComplyRight poster products and servi
ces that cover federal postings now include this new mandatory posting. ...
High quality printed version of mandatory federal and state posters
$90.99 Save 12%
$79.37
Per each
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ComplyRight™ Application for EmploymentComplyRight™ Application for Employment
ComplyRight™ Application for Employment
Item #: 550-AR0374
Front has applicants personal information
Back covers previous employment and plain-language disclosures
Each form includes a free tip sheet with do's and don'ts for proper usage
$44.49
Per pack
($0.89/EACH)
3% off
Price drop
ComplyRight™ Illinois Job Application, Pack of 50 (A2179IL)ComplyRight™ Illinois Job Application, Pack of 50 (A2179IL)
ComplyRight™ Illinois Job Application, Pack of 50 (A2179IL)
Item #: 550-1182911EDI
Written by Employment Attorneys to ensure compliance with your state laws
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$55.09 Save 3%
$52.99
Per pack
33% off
Price drop
ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500)ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500)
ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500)
Item #: 550-24581404
This CMS-1500 jumbo health care billing envelope helps reduce processing delays
500 envelopes per box
Form size: 9" x 12.5"
$150.79 Save 33%
$99.75
Per each
Price drop
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
Item #: 550-398026
Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
HIPAA compliant
Size: 8 1/2" x 11"
$38.94
Per pack
5% off
Price drop
ComplyRight™ Iowa Job Application, Pack of 50 (A2179IA)ComplyRight™ Iowa Job Application, Pack of 50 (A2179IA)
ComplyRight™ Iowa Job Application, Pack of 50 (A2179IA)
Item #: 550-1949609TFP
Written by Employment Attorneys to ensure compliance with your state laws
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$56.29 Save 5%
$52.99
Per each
5% off
Price drop
ComplyRight Absence Report, 3-Part, Pack of 50 (A2250)
ComplyRight Absence Report, 3-Part, Pack of 50 (A2250)
Item #: 550-2548933
Includes space to add your own comments
Give one copy to the employee and keep the other for a permanent record of the absence
Features ComplyRight™ tips for optimal, compliant use
$87.09 Save 5%
$81.99
Per each
Price drop
ComplyRight™ Employee Records Folder, Letter Size, Pack of 25 (A5001)ComplyRight™ Employee Records Folder, Letter Size, Pack of 25 (A5001)
ComplyRight™ Employee Records Folder, Letter Size, Pack of 25 (A5001)
Item #: 550-1949184
Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Easily fits into any filing cabinet or desk drawer
$64.99
Per each
9% off
Price drop
ComplyRight 3-Part Payroll Status Change Notice, Pack of 50 (A2168)
ComplyRight 3-Part Payroll Status Change Notice, Pack of 50 (A2168)
Item #: 550-2548977
Helps ensure changes are properly processed (through payroll, for example)
Provides written record of what is changing about status and why
Attorney-developed to ensure 100% compliance
$99.89 Save 9%
$90.29
Per each
Price drop
ComplyRight 2025 Attendance Calendar Set, 100 Forms/Pack (A1411W16PK100)ComplyRight 2025 Attendance Calendar Set, 100 Forms/Pack (A1411W16PK100)
ComplyRight 2025 Attendance Calendar Set, 100 Forms/Pack (A1411W16PK100)
Item #: 550-1949171TFP
Calendar format on front of Attendance Calendar Cards makes noting absences quick and easy
Simple coding system included to aid in quickly identifying troubling patterns
Back of Attendance Calendar form allows for recording absence notes, tracking leave as well as any employee warnings for attendance issues
$107.49
Per each
Price drop
ComplyRight 2025-2026 Fiscal Year Attendance Calendar Cards, 50/Pack (A42005015)ComplyRight 2025-2026 Fiscal Year Attendance Calendar Cards, 50/Pack (A42005015)
ComplyRight 2025-2026 Fiscal Year Attendance Calendar Cards, 50/Pack (A42005015)
Item #: 550-1949176TFP
Features a fiscal year calendar (July 1 - June 30) and easy coding system
Efficient calendar format makes tracking absences quick and convenient
Reverse side includes plenty of space to record notes and warnings
$66.49
Per pack
Price drop
ComplyRight™ Florida Job Application, Pack of 50 (A2179FL)ComplyRight™ Florida Job Application, Pack of 50 (A2179FL)
ComplyRight™ Florida Job Application, Pack of 50 (A2179FL)
Item #: 369-1182914EDI
Written by Employment Attorneys to ensure compliance with your state laws
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$58.99
Per pack
Price drop
ComplyRight™ Alabama Job Application, Pack of 50 (A2179AL)ComplyRight™ Alabama Job Application, Pack of 50 (A2179AL)
ComplyRight™ Alabama Job Application, Pack of 50 (A2179AL)
Item #: 550-1435288TFP
Written by Employment Attorneys to ensure compliance with your state laws
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$55.49
Per pack
4% off
Price drop
ComplyRight™ West Virginia Job Application, Pack of 50 (A2179WV)ComplyRight™ West Virginia Job Application, Pack of 50 (A2179WV)
ComplyRight™ West Virginia Job Application, Pack of 50 (A2179WV)
Item #: 550-1949687TFP
Written by Employment Attorneys to ensure compliance in all 50 states
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$61.99 Save 4%
$58.99
Per each
Price drop
ComplyRight™ South Dakota Job Application, Pack of 50 (A2179SD)ComplyRight™ South Dakota Job Application, Pack of 50 (A2179SD)
ComplyRight™ South Dakota Job Application, Pack of 50 (A2179SD)
Item #: 369-1949690TFP
Written by Employment Attorneys to ensure compliance in all 50 states
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$48.99
Per each
27% off
Price drop
ComplyRight™ Connecticut Job Application, Pack of 50 (A2179CT)ComplyRight™ Connecticut Job Application, Pack of 50 (A2179CT)
ComplyRight™ Connecticut Job Application, Pack of 50 (A2179CT)
Item #: 550-1182917EDI
Written by Employment Attorneys to ensure compliance with your state laws
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$73.19 Save 27%
$52.99
Per pack
Price drop
ComplyRight™ New Jersey Job Application, Pack of 50 (A2179NJ)ComplyRight™ New Jersey Job Application, Pack of 50 (A2179NJ)
ComplyRight™ New Jersey Job Application, Pack of 50 (A2179NJ)
Item #: 550-1949603TFP
Written by Employment Attorneys to ensure compliance with your state laws
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$52.99
Per each
Price drop
ComplyRight 2025 Attendance Calendar Set, 200 Forms/Pack (A1411W16PK200)ComplyRight 2025 Attendance Calendar Set, 200 Forms/Pack (A1411W16PK200)
ComplyRight 2025 Attendance Calendar Set, 200 Forms/Pack (A1411W16PK200)
Item #: 550-1949159TFP
Calendar format on front of Attendance Calendar Cards makes noting absences quick and easy
Simple coding system included to aid in quickly identifying troubling patterns
Back of Attendance Calendar form allows for recording absence notes, tracking leave as well as any employee warnings for attendance issues
$179.49
Per each
7% off
Price drop
ComplyRight™ Texas Job Application, Pack of 50 (A2179TX)ComplyRight™ Texas Job Application, Pack of 50 (A2179TX)
ComplyRight™ Texas Job Application, Pack of 50 (A2179TX)
Item #: 550-1182982EDI
Written by Employment Attorneys to ensure compliance with your state laws
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$80.69 Save 7%
$74.59
Per pack
Price drop
ComplyRight 2025 Attendance Calendar Set, 50 Forms/Pack (A1411W16PK50)ComplyRight 2025 Attendance Calendar Set, 50 Forms/Pack (A1411W16PK50)
ComplyRight 2025 Attendance Calendar Set, 50 Forms/Pack (A1411W16PK50)
Item #: 550-1949172TFP
Calendar format on front of Attendance Calendar Cards makes noting absences quick and easy
Simple coding system included to aid in quickly identifying troubling patterns
Back of Attendance Calendar form allows for recording absence notes, tracking leave as well as any employee warnings for attendance issues
$69.49
Per each
Price drop
ComplyRight™ Kansas Job Application, Pack of 50 (A2179KS)ComplyRight™ Kansas Job Application, Pack of 50 (A2179KS)
ComplyRight™ Kansas Job Application, Pack of 50 (A2179KS)
Item #: 369-1182885EDI
Written by Employment Attorneys to ensure compliance with your state laws
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$76.49
Per pack
Price drop
ComplyRight™ Arizona Job Application, Pack of 50 (A2179AZ)ComplyRight™ Arizona Job Application, Pack of 50 (A2179AZ)
ComplyRight™ Arizona Job Application, Pack of 50 (A2179AZ)
Item #: 369-1949611TFP
Written by Employment Attorneys to ensure compliance with your state laws
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$55.19
Per each
Price drop
ComplyRight™ Ohio Job Application, Pack of 50 (A2179OH)ComplyRight™ Ohio Job Application, Pack of 50 (A2179OH)
ComplyRight™ Ohio Job Application, Pack of 50 (A2179OH)
Item #: 369-1182986EDI
Written by Employment Attorneys to ensure compliance with your state laws
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$64.99
Per pack
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Want to know more about Page 4 of HR Forms

Medical claim forms as paper submissions

Medical practices must submit full, accurate information to receive payment from insurance providers. The 1500 form captures all the information that HCFA requires to assess reimbursements administered under the Centers for Medicare and Medicaid Services (CMS). HCFA 1500 forms also contain the data points that private insurers need for assessing reimbursements. Practice personnel may hand-print the information in dark ink or use a non-italic, black 10- or 12-point font on a dot matrix or laser printer.

The color format of HCFA 1500 forms

This medical claim form is just one page. Like many tax forms that the IRS requires for specific paper filing, the 1500 form has red ink on white paper to enable the CMS to scan it for computer data entry. Medical practices may also use only the red-ink copy as the original.

Some of the information on medical claim forms

If a medical practice does use the correct medical claim form or if it doesn’t complete the paperwork strictly according to guidelines, the CMS won’t process the form for government reimbursement. Private insurers may also deny the form and make the reimbursement process more difficult. Some of the information requirements are the following:

  • Patient’s name and Medicare number exactly as they appear on the Medicare card
  • Full, 10-digit Provider Identification Number of the practice, including the National Provider Identifier (NPI) for any referring provider
  • Valid address and ZIP code for the location of the service provided, not a P.O. box or “Same as Above”
  • Exact certification number for the service provided and any clinical laboratory participating in the service
  • Strict compatibility between units/days of service provided and the quantity/date of service

Confidentiality of the 1500 form

Data privacy provisions under HIPAA require that patient identities remain confidential. Medical practices that make copies of the 1500 claim form must file the copies where unauthorized personnel cannot access them. Use confidential folders like those that companies use to separate employees’ medical records from their personnel records. These serve as record-keeping safeguards for adhering to legal standards for patient privacy.

Cost-saving 1500 form packages

Like the large number of HR forms that private companies must have for employees, a medical practice must have plenty of documents for its patients, including those for submitting claims. Authorized 1500 form printers like ComplyRight™ provide cost-saving packages ranging from 250 to 1,000 and 2,500 forms.

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