Page 25 of hcfa cms 1500 health insurance business forms
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Custom Classic Design, Lined Small Format Invoices, 4 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D1084
Get the details: Includes 13 description lines on this lined form to record the invoice details
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Custom Classic, Compact Invoices 2 Parts, 1 Color Printing, 5 2/3" x 7", 500/Pack
Item #: 901-D1142
Compact, yet there's room to include all the information your customers need to pay promptly
Compact invoices are ideal for smaller orders
Consecutive numbering: These forms come with the option to have consecutive numbering printed on them
Custom Classic Small Lined Booked Invoices, 3 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D108B3
Get the details: Includes 13 description lines on this lined form to record the invoice details
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Custom Small Lined Invoices, 4 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D108T4
Get the details: Includes 13 description lines on this lined form to record the invoice details
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Custom Sales Slips - Image Design, TEXT ONLY 3 Parts, 1 Color Printing, 4 1/4" x 7", 500/Pack
Item #: 901-D25903A
Professional image: Contemporary design projects a professional image
2 layout options: Available in two layouts for special wording area - Layout A is special wording only and Layout B is special wording plus a logo
Consecutive numbering: These forms come with the option to have consecutive numbering printed on them
Custom Classic Design, Lined Small Format Invoices, 3 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D1083
Get the details: Includes 13 description lines on this lined form to record the invoice details
Consecutively numbered for easy recordkeeping
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Custom Bills of Lading - Small Carbonless, 3 Parts, 1 Color Printing, 8 1/2" x 7", 250/Pack
Item #: 901-D72003
Special section to identify hazardous materials
Meets regulations. These forms meet all D.O.T. and I.C.C. regulations
Get the details: 8 description lines
Saunders Snapak Recycled Aluminum Form Holder, Letter Size, Silver (10517)
Item #: 901-137109
Item #: 901-137109
Form holder provides functionality and solid support for documents
Letter-size clipboard - keep documents in place
Made of high-quality gray/silver aluminum for maximum durability
$52.99
Per each
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
Item #: 901-398026
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"
Custom Multi-Purpose Sales Books, Colors Design, Large Format, 3 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D55T3
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 17 lines enable even the biggest orders to fit on a single page
Stay organized: Bottom copy stays bound in book for a permanent record
Custom Retail Sales Book, Classic Design, Medium Format, NO CASH RETURNS, 3 Parts, 1 Color Printing, 4 3/16" x 7", 500/Pack
Item #: 901-D2509SW3B
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
Custom Progress Notes, 8-1/2" x 11", 24# White Stock, 250 Sheets per Pack
Item #: 901-QFW2175701
For use in patient charts and files
8-1/2" W x 11" L
White 24# ledger stock, pre-printed in black ink
Custom Sales Slips - Image Design, TEXT ONLY 2 Parts, 1 Color Printing, 4 1/4" x 7", 500/Pack
Item #: 901-D25902A
Professional image: Contemporary design projects a professional image
2 layout options: Available in two layouts for special wording area - Layout A is special wording only and Layout B is special wording plus a logo
Consecutive numbering: These forms come with the option to have consecutive numbering printed on them
ComplyRight Confidential Personnel Envelo-File, Legal Size, 25/Pack (A0731)
Item #: 901-2549007
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
Custom Dental Extraction Instruction Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN131161R
Use to convey instructions to patients
4" W x 5-1/2" L
White 20# text stock; printed in black ink
Medical Arts Press® Contact Lens Rx Blanks; 2-Part
Item #: 901-15586
Item #: 901-15586
Conforms to all new requirements of federal Fairness to Contact Lens Consumers Act (FCLCA)
Option to include customer warning regarding need for periodic eye exams (required in some states)
Black print on white stock
Custom Treatment Notes, 8-1/2" x 11", 250 Sheets per Pack
Item #: 901-QFN105601R
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in black ink
Belkin SoundForm USB-C/3.5mm Noise Canceling Over-Ear Headphones, Blue (AUD010FQBL)
Item #: 901-IM1YS8421
Item #: 901-IM1YS8421
Belkin SoundForm Wired Noise Canceling Headphones
Volume-limited to 85 dB for safe listening
Built-in microphone for calls and online learning
ComplyRight™ California Job Application, Pack of 50 (A2179CA)
Item #: 901-1182919EDI
Item #: 901-1182919EDI
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
ComplyRight Federal/State Kits Labor Law Posters, Pennsylvania, English (U1200CSLPA)
Item #: 901-24671894
Item #: 901-24671894
Initial shipment includes all mandatory federal, state and local employee postings required to be displayed by all employers.
Service also includes any individual posters (such as E-Verify, Right to Work, no smoking, workers’ comp industry wage orders and Spanish postings) wherever required by law for all employers.
Annual fee includes 12 months of legal monitoring by our expert in-house legal team, and automatic poster replacements, at no extra cost, any time a mandatory change occurs – including any newly issued postings.
ComplyRight West Virginia Job Application, Pack of 50 (A2179WV)
Item #: 901-1949687TFP
Item #: 901-1949687TFP
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
Custom Product Invoices, Laser, 2 Parts, 1 Color Printing, 8 1/2" x 11", 500/Pack
Item #: 901-D13055G2
Time saver: Preprinted columns save time, ensure greater accuracy
Consecutive numbering available
Promote your business: Personalization includes your imprint plus choice of typeface and standard logo
Custom Multi-Purpose Sales Books, Colors Design, Large Format, 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D55T2
Take complete orders: Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Get the details: 17 lines enable even the biggest orders to fit on a single page
Stay organized: Bottom copy stays bound in book for a permanent record
ComplyRight Federal, State and Local Labor Law 1-Year Poster Service, Bilingual, Michigan (U1200CSLCBAMI)
Item #: 901-24675621
Item #: 901-24675621
Initial shipment includes all mandatory federal, state and local employee postings required to be displayed by all employers.
Service also includes any individual posters (such as E-Verify, Right to Work, no smoking, workers? comp industry wage orders and Spanish postings) wherever required by law for all employers.
Annual fee includes 12 months of legal monitoring by our expert in-house legal team, and automatic poster replacements, at no extra cost, any time a mandatory change occurs ? including any newly issued postings.
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