Page 58 of hcfa cms 1500 health insurance business forms
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TOPS Memorandum Pocket Notebook, 25 Sheets, Blue (4150)
Item #: 901-4150
Item #: 901-4150
11" x 5 1/2"
50 pages
100 forms, 2 forms per page
$16.99
Per each
Staples® Aluminum Storage Clipboard, Memo Size, Silver (ST44400/44400)
Item #: 901-1828056
Item #: 901-1828056
Storage clipboard protects and organizes your business forms and documents
Memo-size clipboard - keep documents in place
Made of high-quality gray/silver aluminum for maximum durability
$24.99
1-3 each
Save 8%
$22.99
4+ each
Casio FX-9750GIII-PK Graphing Calculator, Pink
Item #: 901-24431366
Item #: 901-24431366
Non-CAS graphing calculator offers 21-character, 8-line 128 x 64 dot matrix display for showing graphs and charts
Explore math expressions in symbolic form, see patterns, and understand the math behind the formulas
Powered by four AAA batteries
Tide PODS HE 3-in-1 Laundry Detergent Capsules, Spring Meadow, 85 oz., 112 Capsules (03250)
Item #: 901-24528380
Item #: 901-24528380
Comes in the modern and convenient form of pods
Effectively removes a wide variety of stains
Spring meadow scent is infused with fresh floral notes
$35.79
Per pack
($0.32/EACH)
Digital Carbonless Paper, Straight, 8-1/2 x 11, White/Canary/Pink, 2500/Carton
Item #: 901-958695
Item #: 901-958695
Single- and Multi-Part Form
Optimized for digital monochrome and color printing
Reduce inventory costs—no obsolete forms to discard
Adams Phone Message Pad, 5.5" x 11", White, 100 Sheets/Pad, 2 Pads/Pack (SC1154-2D)
Item #: 901-SC11542D
Item #: 901-SC11542D
Sheet Dimensions: 5.5" x 8.5"
100 pages with 400 total forms per book to record ample messages
Package contains 2 books per pack
$19.09
1-2 pack
($9.55/EACH)
Save 6%
$17.99
3+ pack
($9.00/EACH)
Tide PODS 3-in-1 HE Laundry Detergent Capsules, Original Scent, 85 fl. oz., 112 Capsules/Pack (03243)
Item #: 901-24528379
Item #: 901-24528379
Comes in the modern and convenient form of pods
Effectively removes a wide variety of stains
Fights tough odors and leaves behind a refreshing Original scent
$35.39
Per pack
($0.32/EACH)
Tide PODS Free & Gentle HE Laundry Detergent Capsules, 83 oz., 112 Capsules/Pack (03229)
Item #: 901-24528372
Item #: 901-24528372
Comes in the modern and convenient form of pods
Effectively removes a wide variety of stains
Suitable for sensitive skin
$36.99
Per pack
($0.33/Pod)
Mind Reader Wall File Organizer, 8-Pocket Hanging Document Rack, Office Wall Mount, Metal, Black (MAG8C-BLK)
Item #: 901-24654750
Item #: 901-24654750
Wall-Mounted Efficiency: Instantly saves desktop space by keeping important papers off your surface and visible
8-Pocket File Sorting: Includes eight separate compartments ideal for organizing folders, mail, forms, and paperwork
Durable Construction: Made from sturdy black metal mesh designed to withstand daily use in office or school environments
Avery Computer Labels, Dot Matrix Labels and Pin-Feed Labels, 15/16" x 3-1/2", White, 5,000 Labels/Pack (4013)
Item #: 901-287102
Item #: 901-287102
Ideal for large volume uses, print thousands of professional-looking rectangle labels without reloading or reprinting
Specifically designed for pin fed and dot matrix printers, the continuous-form label sheets contains 12 address label stickers per perforated sheet
The bright white multipurpose labels are perfect for creating mailing labels, storage labels, and organization labels
$34.99
Per box
($0.01/EACH)
Alliance 8.5" x 11" Perforated Specialty Paper, 20 lbs., 92 Brightness, 500 Sheets/Ream (851032)
Item #: 901-813649
Item #: 901-813649
Perforated sheets are used for remittance forms, coupons, invoices, and statements
Paper weight: 20 lbs.
Sheet dimensions: 8.5" x 11" (US letter)
$22.79
Per ream
Hammermill 8.5" x 11" Colored Copy Paper, 20 lbs., Canary, 500 Sheets/Ream, 10/Reams (103341CT)
Item #: 901-24617760
Item #: 901-24617760
DEPENDABLE COLORED PAPER – Hammermill Colors 8.5" x 11" canary paper runs efficiently through all office imaging equipment. It is 20lb colored printer paper that provides the visual appeal & impact to make your work stand out from the crowd.
SMOOTH SURFACE – Hammermill colored paper features a smooth, even surface with a high opacity minimal show-through. It's the ideal colored copy paper for newsletters, flyers, forms, school/art projects, reports, color coding & more.
99.99% JAM-FREE GUARANTEE – We guarantee that you will not experience more than one jam in 10,000 sheets of copier paper on high-speed digital equipment or we'll replace your Hammermill paper purchase. You can trust Hammermill quality, guaranteed.
$109.99
Per carton
($11.00/Ream)
Medical Arts Press® File Folder Dividers, End Position (31447)
Item #: 901-31447
Item #: 901-31447
Each divider is extended in length, scored for folding and comes with a pre-affixed 1" capacity fastener
Fold on score line to form flap and slip divider over existing fastener in folder
The next divider is attached to the fastener on the first divider, and so on
$43.89
Per box
($0.44/EACH)
Xerox Revolution 8.5" x 11" Carbonless, White/Canary/Pink, 1670/Carton (3R12425)
Item #: 901-514316
Item #: 901-514316
Three-part straight (white, canary, and pink) carbonless paper is great for creating important forms
Size: 8.5"W x 11"H
Has a proprietary capsule control technology which reduces contamination and enhances image quality
Mind Reader 8-Compartment Wall Mountable Metal File Organizer, Pink (MAG8C-PNK)
Item #: 901-24654755
Item #: 901-24654755
Wall-Mounted Efficiency: Instantly saves desktop space by keeping important papers off your surface and visible
8 Pocket File Sorting: Includes seven separate compartments ideal for organizing folders, mail, forms, and paperwork
Durable Construction: Made from sturdy black metal mesh designed to withstand daily use in office or school environments
Hammermill Fore 8.5" x 11" Multipurpose Paper, 20 lbs., 96 Brightness, 5000 Sheets/Carton (103267)
Item #: 901-014336
Item #: 901-014336
Ideal for copies, newsletters, flyers, forms, reports, price listings, manuals
Paper weight: 20 lbs.; 50.8 lb. Text
Sheet dimensions: 8.5" x 11" (US letter)
$130.49
Per carton
($13.05/REAM)
Hammermill 8.5" x 11" Colored Copy Paper, 20 lbs., Lilac, 500 Sheets/Ream, 10/Reams (102269CT)
Item #: 901-24617758
Item #: 901-24617758
DEPENDABLE COLORED PAPER – Hammermill Colors 8.5" x 11" lilac paper runs efficiently through all office imaging equipment. It is 20lb colored printer paper that provides the visual appeal & impact to make your work stand out from the crowd.
SMOOTH SURFACE – Hammermill colored paper features a smooth, even surface with a high opacity minimal show-through. It's the ideal colored copy paper for newsletters, flyers, forms, school/art projects, reports, color coding & more.
99.99% JAM-FREE GUARANTEE – We guarantee that you will not experience more than one jam in 10,000 sheets of copier paper on high-speed digital equipment or we'll replace your Hammermill paper purchase. You can trust Hammermill quality, guaranteed.
$110.99
Per carton
($11.10/Ream)
Logitech MX Keys Mini for Business Wireless Keyboard, Graphite (920-010594)
Item #: 901-24507797
Item #: 901-24507797
Meet rising enterprise security expectations: Logi Bolt high performance wireless technology with Secure Connections Only mode security and next level compatibility.
More universally compatible than most leading peripheral brands on the market. With two types of connections, Bluetooth Low Energy or Logi Bolt USB receiver, works with just about every OS.
Mini Size, Mighty, Powerful: A layout designed for effortless precision, with a minimalist form for an ergonomic keyboard that's portable and can travel wherever you get work done
Hammermill Great White 30% Recycled 8.5" x 11" Copy Paper, 20 lbs., 92 Brightness, 5000 Sheets/Carton (86700)
Item #: 901-893760
Item #: 901-893760
Perfect for black and white copies, forms, faxes, memos, reports, price sheets, bulletins, legal briefs and more
Paper weight: 20 lbs.; 50.8 lb. Text
Sheet dimensions: 8.5" x 11" (US letter)
$99.99
Per carton
($10.00/REAM)
Apple Dynamic Power 40W USB-C Wall Charger for Apple, White (MGKN4AM/A)
Item #: 901-IM1Z55829
Item #: 901-IM1Z55829
Dynamic Power Delivery – Automatically adjusts output to deliver up to 60W for faster, more efficient charging across compatible devices.
Compact & Travel-Friendly Design – Pocket-sized form factor makes it ideal for charging at home, in the office, or on the go.
Optimized for iPhone 17 & iPhone Air – Fast-charges iPhone 17 to 50% in ~20 minutes and iPhone Air in ~30 minutes when paired with a USB-C cable.
Printworks Professional 8.5" x 11" Multipurpose Paper, 24 lbs., 92 Brightness, 500/Ream, 5 Reams/Carton (04122)
Item #: 901-195477LMP
Item #: 901-195477LMP
Perforated papers are ideal for invoices, billing statements, direct mail, reports, patient charts, healthcare forms and many other applications
Paper weight: 24 lbs.
Sheet dimensions: 8.5" x 11" (US letter)
$109.99
Per carton
($22.00/Ream)
Medical Arts Press File Folder Dividers, Standard Side-Flap, 100/Box (31400)
Item #: 901-31400Q
Item #: 901-31400Q
Standard Side Flap Divider
Self-Adhesive Dividers Quickly Convert File Folders To Divided Folders
Just Fold On Line to Form A Flap, Then Remove Protective Strip Over Adhesive and Affix to Folder
$50.39
Per box
($0.50/EACH)
Tampax Pearl Regular Absorbency Tampons, 18/Box (00073010004542)
Item #: 901-285471
Item #: 901-285471
LeakGuard Braid helps stop leaks before they happen
Anti-Slip Grip on applicator makes the tampons easy to insert
Gently expands to your individual shape thanks to Tampax FormFit protection
$12.49
Per box
Mind Reader Concrete Book Ends, 5", White, 2/Set (OVBPLANT-WHT)
Item #: 901-24676435
Item #: 901-24676435
Architectural Design: Ribbed cement form with dimensional grooves creates a sculptural modern look
Decorative Greenery: Includes realistic faux plants for added height texture and visual interest
Secure Support: Weighted cement construction keeps books upright and neatly organized
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