Page 5 of hcfa cms 1500 health insurance business forms
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Accounting & Record Journals (104) -
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Staples Dollar and Cent Accounting Journal, 144 Pages, Brown (182022ABF)
Item #: 901-182022
Item #: 901-182022
This accounting journal is designed to document your cash flow and finances
Comes with brown cover and includes pages of white paper with blue and red lines
Compact book provides 144 pages with single-entry ledger rulings
Quill Brand® 4-Column Columnar Book, 80 Pages, Blue Marble (18848/26517)
Item #: 901-217745
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
Medical Arts Press Dental Initial Exam Chart; Rainbow FormFamily (10007)
Item #: 901-10007
Item #: 901-10007
Form Printed on 1 Side
Anatomical chart shows facial, occlusal, and lingual tooth and root surfaces
Size: 8-1/2x11"
Medical Arts Press Periodontal Chart; Rainbow FormFamily (10008)
Item #: 901-10008
Item #: 901-10008
100 sheets per package
Size: 8-1/2" x 11"
Form Printed on 1 Side
Medical Arts Press® Tamper-Resistant Laser Rx Paper; 4 RX Blanks/Sheet, High Security
Item #: 901-83406
Item #: 901-83406
Security features exceed industry guidelines and meet all Medicaid requirements
Void pantograph - the word "VOID" appears when form is photocopied
Chemical protection - stains or spots appear with chemical alteration
Medical Arts Press Log of Hospital Visits, Pocket-sized, 1-Part
Item #: 901-20030
Item #: 901-20030
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
Staples Ledger Binder, 200 Pages, Blue Marble (26520)
Item #: 901-296509
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
Medical Arts Press Narrow Ruled Veterinary Animal Record Progress Notes (20474)
Item #: 901-20474
Item #: 901-20474
Form heading includes space for owner s information and animal s identifying information
Top of page reinforced and two-hole punched
Reverse side is printed with Date and Progress Notes column headings
Quill Brand® 9.5" x 11" Continuous Form Paper, 20 lbs., 92 Brightness 2550 Sheets/Carton (710657)
Item #: 901-710657
Item #: 901-710657
Continuous form bond paper
Paper weight: 20 lbs.
Size: 9-1/2x11" (8-1/2" width with carrier strips removed)
Medical Arts Press® Continuation Notes, Green
Item #: 901-20133NP
Item #: 901-20133NP
Type of form: Continuation note
500 per pack
Size: 8 1/2" x 11"
Medical Arts Press Expanded Animal Patient Record
Item #: 901-20371
Item #: 901-20371
Type of form: Animal patient record
250 per pack
Size: 8 1/2" x 11"
Columnar Book, 6 Columns, 7.25" x 9.5", Blue Granite, 40 Sheets/Book (217752)
Item #: 901-217752
Item #: 901-217752
7 1/4" x 9 1/2"
80 pages per book
Quad ruled
Adams 3-Part Carbonless Receipts Book, 7.19" x 2.75", 50 Forms/Book (ABF TC2701)
Item #: 901-TC2701
Item #: 901-TC2701
Money and rent receipt book is consecutively numbered for easy organization
Form size: 7.19"W x 2.75"L
3-Part Carbonless forms for accurate record keeping
Quill Brand® 2 Columns Columnar Book, 7.25"W x 9.5"H, Gray Marble (18846/26515)
Item #: 901-217729
Item #: 901-217729
Gray marble-look cover
Includes 80 single-format pages, comes with two columns, quad-ruled
Overall dimensions: 7.25"W x 9.5"H
Medical Arts Press Progress Notes; Standard 2-Hole Punch (20585RL)
Item #: 901-20585NP
Item #: 901-20585NP
60 lb. stock
For custom punch order item # 20585
250 per package
Quill Brand® Special-Size Multi-Part Carbonless Forms, 9-1/2 x 5-1/2", 3200 Sheets/Carton
Item #: 901-710833
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.
Medical Arts Press® Vet Cage Card; Pets Logo, 3x5", 250/Pack (20395)
Item #: 901-20395
Item #: 901-20395
Medical Arts Press Continuation Notes (20132)
Item #: 901-20132NP
Item #: 901-20132NP
Four other colors available for setting up a color-coding system
500 per package
Size: 8-1/2x11"
Tabbies 3-Part Patient Sign-in Label Forms, 125/Pack (14532)
Item #: 901-2678548
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
Medical Arts Press Animal Record Card (20472)
Item #: 901-20472
Item #: 901-20472
Type of form: Animal record card
100 per pack
Size: 5" x 8"
Adams 3-Part Carbonless Receipts Hardbound Book, 2.75"L x 7"W, 200 Forms/Hardbound Book (TCH1185)
Item #: 901-TCH1185
Item #: 901-TCH1185
Money receipt book is consecutively numbered for easy organization
Business form size: 2.75"L x 7"W
3-Part Carbonless forms for accurate record keeping
Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074043)
Item #: 901-24617597
Item #: 901-24617597
Patient Sign-In Label forms to sign in your patients confidentially
HIPAA Compliant
125 Sheets Per Package
Medical Arts Press Vet Cage Card, Specially Designed for Groomers and Boarding Services, 3 x 5", 250/Pack (20368)
Item #: 901-20368
Item #: 901-20368
Includes feeding information and a large section for handwritten notes or pressure sensitive labels
250 per package
Size: 3x5"
Adams Double Window Tax Form Envelopes, White, 100/Pack (7956E-S)
Item #: 901-919930
Item #: 901-919930
Double Window Security Envelopes - 5-5/8" x 9"
For 1098, 5498, 1099-MISC, 1099-INT, 1099-DIV, 1099-OID, 1099-R, 1099-B, & 1099-C forms
Top Window - 3-3/8" x 1-3/8", Bottom Window - 3-3/8" x 1-7/16"
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