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Shop hcfa cms 1500 health insurance business forms

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ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2 x 11, Box of 1,000 (CMS12LC1)ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2 x 11, Box of 1,000 (CMS12LC1)
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ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
Item #: 901-CMS12LC1
(85)
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
$55.99
Per carton
($0.06/EACH)
Add to cart
Earn 55 points
Free next-day delivery
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2 x 11, Pack of 500 (CMS12LC500)ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2 x 11, Pack of 500 (CMS12LC500)
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ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
Item #: 901-CMS12LC500
(34)
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
$50.99
Per pack
($0.10/EACH)
Add to cart
Earn 50 points
Free delivery
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
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ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
Item #: 901-125557
(58)
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
$123.99
Per pack
($0.05/EACH)
Add to cart
Earn 123 points
Free delivery
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2 x 11, 250/Pack (50135RV)
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TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
Item #: 901-2408453
(16)
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
$26.09
Per pack
($0.10/EACH)
Add to cart
Earn 26 points
Free delivery
ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
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ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
Item #: 901-CMS12LC250
(51)
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
$47.29
Per box
($0.19/EACH)
Add to cart
Earn 47 points
Free next-day delivery
Medical Arts Press® Chiropractic Registration and History Form without Updates, Sky Blue, 250 Forms/Pack (20572)Medical Arts Press® Chiropractic Registration and History Form without Updates, Sky Blue, 250 Forms/Pack (20572)
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Medical Arts Press® Chiropractic Registration and History Form without Updates, Sky Blue, 250 Forms/Pack (20572)
Item #: 901-20572
(6)
Item #: 901-20572
Forms ensure reimbursement, improve risk management and document your clinical process
Comprehensive color forms include areas for complete registration and history information, reason for visit, type of pain, site of pain or numbness
Also features areas for severity, onset, effect on daily activities, and co
$76.29
1 pack
($0.31/EACH)
Save 6%
$71.99
2+ pack
($0.29/EACH)
Add to cart
Earn 76 points
Free delivery
Quill Brand® Special-Size 3 Part Carbonless Forms, 9-1/2x5-1/2, 1,000/CT (9353)
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Quill Brand® Special-Size 3 Part Carbonless Forms, 9-1/2x5-1/2", 1,000/CT (9353)
Item #: 901-710837
(3)
Item #: 901-710837
Use Quill Brand special-size multi-part carbonless forms when you need multiple copies of the same form
Size: 9-1/2x5-1/2"; 8-1/2x5-1/2" without the carrier strips
3-part forms: white top sheet, canary-colored second sheet and pink third sheet
$161.79
Per carton
Add to cart
Earn 161 points
Free delivery
Quill Brand® 9.5 x 11 4 Part Form Paper, 15 lbs., 92 Brightness, 850 Sheets/Carton (710754)
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Quill Brand® 9.5" x 11" 4 Part Form Paper, 15 lbs., 92 Brightness, 850 Sheets/Carton (710754)
Item #: 901-710754
(3)
Item #: 901-710754
4-part form paper produces letter-size originals and three copies fast and fuss-free
Paper weight: 15 lb. white top sheet, 15 lb. bottom sheets
8-1/2x11" without carrier strips (9-1/2x11" with 1/2" standard perforated carrier strips)
$283.89
Per carton
Add to cart
Earn 283 points
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GIFT OF THE WEEK: Dash Americana Mini Waffle MakerGIFT OF THE WEEK: Dash Americana Mini Waffle Maker
210 points
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Bath Bombs, 12-Piece SetBath Bombs, 12-Piece Set
210 points
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8 Soft Cookies - Choc Chip, Snickerdoodle, Oatmeal & Vanilla8 Soft Cookies - Choc Chip, Snickerdoodle, Oatmeal & Vanilla
75 points
25 points
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Gourmet Edge 5PC Bakeware: Nonstick, heavy carbon steel.
653 points
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Quill Brand® 9.5 x 11 Continuous Form Paper, 18 lbs., 92 Brightness 2550 Sheets/Carton (710608)
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Quill Brand® 9.5" x 11" Continuous Form Paper, 18 lbs., 92 Brightness 2550 Sheets/Carton (710608)
Item #: 901-710608
(2)
Item #: 901-710608
Continuous form bond paper
Paper weight: 18 lbs.
Size: 9-1/2x11" (8-1/2" width with carrier strips removed)
$107.99
Per carton
Add to cart
Earn 107 points
Free delivery
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Quill Brand® 14-7/8 x 11 Continuous Form 1/2 Blue Bar Paper, 20 lbs., 2700 Sheets/Carton (QU710604)
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Quill Brand® 14-7/8 "x 11" Continuous Form 1/2" Blue Bar Paper, 20 lbs., 2700 Sheets/Carton (QU710604)
Item #: 901-710604
(1)
Item #: 901-710604
1/2" blue bar Bond paper for continuous form printing
Paper weight: 20 lbs.
Size 14-7/8x11"
$196.39 Save 37%
$122.99
Per carton
($0.05/EACH)
Add to cart
Earn 122 points
Free delivery
Quill Brand® 9.5 x 11 Continuous Form Paper, 20 lbs., 92 Brightness 2550 Sheets/Carton (710657)
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Quill Brand® 9.5" x 11" Continuous Form Paper, 20 lbs., 92 Brightness 2550 Sheets/Carton (710657)
Item #: 901-710657
(2)
Item #: 901-710657
Continuous form bond paper
Paper weight: 20 lbs.
Size: 9-1/2x11" (8-1/2" width with carrier strips removed)
$134.69
Per carton
Add to cart
Earn 134 points
Free delivery
Quill Brand® Special-Size Multi-Part Carbonless Forms, 9-1/2 x 5-1/2, 3200 Sheets/CartonQuill Brand® Special-Size Multi-Part Carbonless Forms, 9-1/2 x 5-1/2, 3200 Sheets/Carton
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Quill Brand® Special-Size Multi-Part Carbonless Forms, 9-1/2 x 5-1/2", 3200 Sheets/Carton
Item #: 901-710833
(3)
Item #: 901-710833
Business paper is perfect for printing receipts that require two copies
Paper dimensions: 5.5"W x 9.5"L
Paper weight: 15 lbs.
$153.49
Per carton
Add to cart
Earn 153 points
Free delivery
Quill® Economy Columnar Pads for Prong Fasteners; 4 Columns
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Quill® Economy Columnar Pads for Prong Fasteners; 4 Columns, 50 Sheets/Pad, 10 Pads/Pack (95141)
Item #: 901-745804
(15)
Item #: 901-745804
20-lb. ledger green paper
50 numbered lines, every fifth horizontal line heavily ruled as line guide
10,000,000 units per column
$93.49
1-3 pack
($9.35/EACH)
Save 19%
$75.89
4+ pack
($7.59/EACH)
Add to cart
Earn 93 points
Free delivery
Quill Brand® 4-Column Columnar Book, 80 Pages, Blue Marble (18848/26517)Quill Brand® 4-Column Columnar Book, 80 Pages, Blue Marble (18848/26517)
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Quill Brand® 4-Column Columnar Book, 80 Pages, Blue Marble (18848/26517)
Item #: 901-217745
(1)
Item #: 901-217745
Columnar book for record keeping
Blue marble and made of paper
Includes 80 single-format pages, comes with four columns per page, quad-ruled
$27.69
Per each
Add to cart
Earn 27 points
Free delivery
Columnar Book, 6 Columns, 7.25 x 9.5, Blue Granite, 40 Sheets/Book (217752)Columnar Book, 6 Columns, 7.25 x 9.5, Blue Granite, 40 Sheets/Book (217752)
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Columnar Book, 6 Columns, 7.25" x 9.5", Blue Granite, 40 Sheets/Book (217752)
Item #: 901-217752
(1)
Item #: 901-217752
7 1/4" x 9 1/2"
80 pages per book
Quad ruled
$20.79
Per each
Add to cart
Earn 20 points
Free delivery w/ $25+
Staples Ledger Binder, 200 Pages, Blue Marble (26520)
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Staples Ledger Binder, 200 Pages, Blue Marble (26520)
Item #: 901-296509
(64)
Item #: 901-296509
Ledger binder is an excellent choice for storing your important documents
Blue marbled cover and white bond paper
Includes 200 pages printed on front and back with green lines
$51.99
Per each
Add to cart
Earn 51 points
Free delivery
Quill Brand® Columnar Book, 12-Columns, 80 Pages, Gray Marble (18852/26519)Quill Brand® Columnar Book, 12-Columns, 80 Pages, Gray Marble (18852/26519)
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Quill Brand® Columnar Book, 12-Columns, 80 Pages, Gray Marble (18852/26519)
Item #: 901-217976
(174)
Item #: 901-217976
Columnar book for record keeping
Gray marble and made of paper
Includes 80 single-format pages, comes with 12 columns per page, quad-ruled
$19.99
1-2 each
Save 6%
$18.89
3+ each
Add to cart
Earn 19 points
Free delivery w/ $25+
Tabbies 3-Part Patient Sign-in Label Forms, 125/Pack (14532)
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Tabbies 3-Part Patient Sign-in Label Forms, 125/Pack (14532)
Item #: 901-2678548
(4)
Item #: 901-2678548
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
$71.09
Per pack
($0.57/EACH)
Add to cart
Earn 71 points
Free delivery
Medical Arts Press Dental Registration Forms, 250/Pack (20558)Medical Arts Press Dental Registration Forms, 250/Pack (20558)
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Medical Arts Press Dental Registration Forms, 250/Pack (20558)
Item #: 901-20558NP
(3)
Item #: 901-20558NP
Type of form: Dental registration form
250 per pack
Size: 8 1/2" x 11"
$67.09
Per pack
($0.27/EACH)
Add to cart
Earn 67 points
Free delivery
Quill Brand® Message Book, 11 x 5-1/2, White, 400 Forms/Book (745400)
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Quill Brand® Message Book, 11" x 5-1/2", White, 400 Forms/Book (745400)
Item #: 901-745400
(54)
Item #: 901-745400
Phone message books simplify call and message tracking in the office
Size: 11" x 5-1/2"
400 messages per book
$16.99
Per each
Add to cart
Earn 16 points
Free next-day delivery w/ $25+
Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11, 18-lb., 2800 Sheets/Carton (ST489122/177172)Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11, 18-lb., 2800 Sheets/Carton (ST489122/177172)
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Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11", 18-lb., 2800 Sheets/Carton (ST489122/177172)
Item #: 901-710601
(8)
Item #: 901-710601
Business computer paper is excellent for making carbonless copies
Paper dimensions: 14.875"W x 11"L
Paper weight: 18 lbs.
$152.99
Per carton
Add to cart
Earn 152 points
Free delivery
Quill Brand® 20-lb. Bond Continuous Form Paper, 9-1/2x11, 1000/Ctn.
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Quill Brand® 20-lb. Bond Continuous Form Paper, 9-1/2x11", 1000/Ctn.
Item #: 901-710761
(6)
Item #: 901-710761
Reliable business paper is perfect for business use
Paper dimensions: 9.5"W x 11"L
Paper weight: 20 lbs.
$53.89
Per carton
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Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11, 20-lb., 2700 Sheets/Carton (177113)Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11, 20-lb., 2700 Sheets/Carton (177113)
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Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11", 20-lb., 2700 Sheets/Carton (177113)
Item #: 901-710603
(3)
Item #: 901-710603
Reliable business paper is perfect for professional use
Paper dimensions: 11"W x 14.88"L
Paper weight: 20 lbs.
$139.09
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Medical Arts Press Registration Forms without Updates Section ; Brush SilhouetteMedical Arts Press Registration Forms without Updates Section ; Brush Silhouette
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Medical Arts Press Registration Forms without Updates Section ; Brush Silhouette
Item #: 901-21786
(1)
Item #: 901-21786
Comprehensive form gathers complete insurance information, making it easier for you to process claims
Silhouetted toothbrush design welcomes patients
Printed in 1-color on two sides on 24-lb. white bond paper
$62.69
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($0.25/EACH)
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