Page 24 of hcfa cms 1500 health insurance business forms
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Medical Arts Press Standard Preprinted Chart Divider Tabs, Patient Information, Orange (30583)
Item #: 901-30583
Orange tab
100/box
Titles are printed in black ink on white stock with a color-coded edge
$9.49
Per pack
($0.09/EACH)
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
$106.99
Per each
Medical Arts Press® Take Home Instructions
Item #: 901-13870M
125 sheets per pack
Form size: 8-1/2" x 11"
$32.89
Per pack
($0.26/EACH)
Adams Attendance Records, 50/Pack (ABF 9493)
Item #: 901-9493
Control costs and keep track of employees' work schedules with daily attendance record
Contains 50 records per package
Perfect contrast of blue ink on white paper
$29.99
Per pack
($0.60/EACH)
Custom Cash Receipt Book, 3-to-a-page, Duplicate, 225 Sets/Book
Item #: 901-TCRB1182
3-Up
Dupllicate
225 sets per book
Adams Self Seal Security Tinted Double Window Envelope, 5 5/8" x 9 1/2", White, 100/Pack (7535PS100)
Item #: 901-24496513
Simple, high-quality double-window envelope for 1099 forms
Dimensions: 5 5/8" x 9 1/2"
Made of white paper
$44.59
Per pack
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
Item #: 901-398026
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"
$87.99
1-2 pack
Save 23%
$67.99
3+ pack
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"
$35.39
Per pack
Custom Cash Receipt Book, 4-to-a-page, Duplicate, 300 Sets/Book
Item #: 901-TCRB1202
4-Up
Duplicate
300 sets per book
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
$139.99
Per each
Custom Carbonless Numbered Blue Receipt Books, 4-3/4" x 2-3/4", 500 Receipts per Book
Item #: 901-QFW1202201
Self-duplicating; everything is printed on original and duplicate
Book size is 11-1/2" W x 8-1/2" L; detached receipt size is 4-3/4" W x 2-3/4" L
Blue self-duplicating carbonless stock; pre-printed in black and blue ink
Custom Repair Orders, Jewelry, Classic Design, Envelope 3 Parts, 1 Color Printing, 4 1/4" x 7 1/4",250/Pack
Item #: 901-D7653
Custom printed business forms, with time-saving features & expert personalization
Special instructions area for customer engraving, sizing & more
Last part is jewelry envelope with adhesive closure
Medical Arts Press Log of Hospital Visits, Pocket-Sized, 2-Part
Item #: 901-20029
Updated with New 2010 Consult Codes and Helpful Chart on Inside Front Cover
Make A Check Mark Or Write In The Level Of Code for Each Patient Visit
When Patient Is Discharged, Detach and Give to Billing - It S Virtually Foolproof
$46.99
1 pack
($4.70/EACH)
Save 6%
$43.99
2+ pack
($4.40/EACH)
Adams Carbonless Rental Applications, 8.5" x 11", 4 Sets/Book (LF310)
Item #: 901-571323
Specify the rights and obligations of both landlord and tenant
Includes four sets of forms, instructions and Lead Paint Disclosure CD-ROM
Use to lease residential rental property to a tenant and outline the terms and conditions for payment
$11.99
Per each
Bankers Box Liberty Corrugated File Storage Boxes, String & Button Closure, Check & Form Size, White/Blue, 12/Carton (00022)
Item #: 901-FF22
String & button, basic-duty box perfect for storing checks and forms
White/Blue corrugated storage box with standard assembly is sturdy and lightweight
Form Size, holds 6" x 9.5" files
$236.99
Per carton
($19.75/EACH)
TOPS® Application for Employment, 2-Sided, 8-1/2 x 11", 50 Sheets/Pad, 2 Pads/Box (32851)
Item #: 901-370031
2-hole punched
Application complies with all legal requirements
Includes employment history, references, education, personal information, physical record, check-offs for special questions and space for interviewer's remarks
$41.99
1-3 box
Save 5%
$39.99
4+ box
Rediform 2-Part Carbonless Purchase Requisitions, 8.5"L x 11"W, 50 Sets/Book (RED1L146)
Item #: 901-2675658
Purchase order book.
17 lines
Brand: Rediform
$36.99
Per each
Custom Carbonless Numbered White Receipt Books, 4-3/4" x 2-3/4", 500 Receipts per Book
Item #: 901-QFW1202001
Self-duplicating; everything is printed on original and duplicate
Book size is 11-1/2" W x 8-1/2" L; detached receipt size is 4-3/4" W x 2-3/4" L
White self-duplicating carbonless stock; pre-printed in black ink
Custom Cash Receipt Book, 4-to-a-page, Triplicate, 200 Sets/Book
Item #: 901-TCRB1203
4-Up
Triplicate
200 sets per book
Custom Shipping Invoices, Classic Design, Small Format,2 Parts, 1 Color Printing, 8 1/2" x 7", 500/Pack
Item #: 901-D1052
Generous description area: 10 description lines with plenty of space to log date shipped, shipped via & FOB information
Convenient snapset format
10 description lines
ComplyRight 2025-2026 Fiscal Year Attendance Calendar Cards, 50/Pack (A42005015)
Item #: 901-1949176TFP
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
$68.79
Per pack
Custom Cash Receipt Book, 4-to-a-page, Triplicate, 200 Sets/Book
Item #: 901-TCRB1143
4-Up
Triplicate
200 sets per book
Custom Sales Book, Classic Design, Med Format, Your Custom Wording, 3 Parts, 1 Color Printing, 4 3/16" x 7", 500/Pack
Item #: 901-D2509SW3C
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 12 lines provide ample room so orders can fit on a single page
Stay organized: Bottom copy stays bound in book for a permanent record; 50 sets per book
Medical Arts Press® Continuation Notes, Green
Item #: 901-20133NP
Type of form: Continuation note
500 per pack
Size: 8 1/2" x 11"
$69.09
Per pack
($0.14/EACH)
