Page 59 of hcfa cms 1500 health insurance business forms
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JAM PAPER 8.5" x 11" Vellum Bristol Cardstock, 67lb, Canary Yellow, 100/pack (169822G)
Item #: 901-24565098
Item #: 901-24565098
Color: Canary Yellow | Our premium solid core cardstock shows no white when folding, tearing, or cutting; its colorful all the way through!
Size: Letter (8.5 x 11 inches) | Ideal for newsletters, brochures, invitations, announcements, flyers, forms, and more.
Quantity: 100 sheets | Plenty of paper for a big project, or to last a long time.
Cosco 2-Part Carbonless Invoices, 5.56" x 8.44", 50 Sets/Book, 5/Pack (074033PK5)
Item #: 901-24619700
Item #: 901-24619700
2-Part Carbonless: Each invoice form features a 2-part carbonless design, providing a duplicate copy without the mess of carbon paper.
Consecutive Numbering: Forms are consecutively numbered for easy tracking and organization.
Wrap-Around Cover: A wrap-around cover separates individual forms, ensuring clean copies and preventing impression transfer to subsequent forms.
Fellowes 24-Compartment Literature Organizers, 29" x 23.44", Dove Gray (25041)
Item #: 901-25041
Item #: 901-25041
Literature sorter and organizer with 24 slots ideal for organizing literature, files, and forms
Overall dimensions: 23.44"H x 29"W x 11.88"D
Made from particle board with corrugated divider system, colored in dove gray
Flipside Tri-Fold Presentation Board, 48" x 36", Corrugated, Assorted Colors, 10/Pack (30045-10)
Item #: 901-24641444
Item #: 901-24641444
Trusted by parents, students, and teachers for over 25 years - our presentation project boards have been the backdrop for millions of award-winning science fair projects in schools across the country.
Trifold Poster Board is 36" height; 48" width is the ideal size for all display and presentation projects. When opened center panel measures 22.5" wide, side panels measure 12.75".
Use this Vision Board to explore endless creative possibilities with paint, markers, crayons, glue and all forms of wet or dry media - our opaque, brightly colored interiors are ready to show off your creative vision and display your research and dat ...
First Aid Only Burn Cream, 12 Packets/Box (13-006)
Item #: 901-1725427
Item #: 901-1725427
Cools and soothes minor burns, sun burns, scalds and abrasions
Individual packets are easy and convenient to use
Cream moisturizes and forms a protective barrier on the minor injury
$9.69
Per box
Logitech Unifying USB Receiver for Wireless Mouse and Keyboard, 6-Device (910-005235)
Item #: 901-2763867
Item #: 901-2763867
Unifying USB receiver for connecting up to six Logitech wireless keyboards and mice
2.4 GHz wireless technology for a powerful, fast connection
Tiny form factor lets you keep the receiver connected even while your computer is packed for transport
Nekoosa Digital 8.5" x 11" Carbonless Paper, White, 2,500 Sheets/Carton (NEK17393)
Item #: 901-958692
Item #: 901-958692
8.5" x 11" single part form
Optimized for digital monochrome and color printing
Reduce inventory costs—no obsolete forms to discard
Urnex Tabz Coffee Equipment Cleaning Tablets, 30 Tabs/Pack (UBI60031)
Item #: 901-24396353
Item #: 901-24396353
Tablet form for easy and controlled dosing helps reduce waste and operator error
Can be used on brewers and servers of different sizes
Contains a blue dye to ensure proper rinsing
$11.99
Per each
Drano Buildup Remover Drain Cleaner, 30 Fl. Oz. (335707)
Item #: 901-24558796
Item #: 901-24558796
With a unique formula containing natural enzymes, this buildup remover helps prevent clogs from forming in your pipes
Comes in a 30 fl. oz. bottle
Prevents septic system backup
$20.99
Per each
Printworks Professional 8.5" x 11" Business Paper, 24 lbs., 92 Brightness, 2500/Carton (04126)
Item #: 901-195472LMP
Item #: 901-195472LMP
Perforated papers are ideal for invoices, billing statements, direct mail, reports, patient charts, healthcare forms and many other applications
Paper weight: 24 lbs.; 60 lb. Text
Sheet dimensions: 8.5" x 11" (US letter)
$148.99
Per carton
Digital Carbonless Paper, 8-1/2 x 11, 3-Part, Rev, White/Canary/Pink, 835 Sets
Item #: 901-958716
Item #: 901-958716
Save time in handling and inventory
Create forms on an "as needed" basis
White/Canary/Pink
$170.69
Per carton
Lexmark Re-Ink Printer Ribbon, 3070166, Black
Item #: 901-935716
Compatible with Forms Printers 2380, 2381, 2390, 2391, 2480, 2481, 2490, 2491, and 2580
Black printer ribbon provides crisp, cost-effective printing suitable for a commercial environment
Shipping dimensions: 4.4"H x 3.7"W x 1.2"D
Gatorade Thirst Quencher Glacier Freeze Powdered Sports Drink Mix, 21 oz., 32/Carton (308-33677)
Item #: 901-580055ORS
Item #: 901-580055ORS
Flavor: Glacier freeze
Form: Instant powder
Container size: 21 oz
Ergodyne ProFlex 7030 PU Coated Cut-Resistant Gloves, ANSI A3, Gray, Large, 12 Pair (10454)
Item #: 901-10454ERG
Item #: 901-10454ERG
CUT RESISTANT – ANSI A3 cut protection and level 6 abrasion resistance for protection when working with sharp materials
FLEXIBLE NO-SLIP GRIP – PU coated palms provide strong but flexible grip for secure handling with enhanced dexterity on a variety of surfaces
COMFORTABLE FORM FIT – 13-gauge seamless HPPE nylon-spandex knit with PU coating moves with you for all-day comfort and minimal hand fatigue
Pepto Bismol, 5 Symptom Relief Chewable Tablets, Original, 32 Counts (00201)
Item #: 901-24571628
Item #: 901-24571628
5 SYMPTOM Stomach Relief: Nausea, Heartburn, Indigestion, Upset Stomach, Diarrhea
COATS AND SOOTHES: Pepto Bismol's coating action calms your stomach and soothes your digestive system to provide fast stomach relief equally as effective as Pepto Bismol Liquid
CONVENIENT FORM: Pepto Bismol Chewables are a convenient way to get on-the-go relief from your upset stomach symptoms
$82.79
Per box
($2.59/EACH)
JAM PAPER 8.5" x 11" Vellum Bristol Cardstock, 67lb, Yellow, 100/pack (169838G)
Item #: 901-24565116
Item #: 901-24565116
Color: Yellow | Our premium solid core cardstock shows no white when folding, tearing, or cutting; its colorful all the way through!
Size: Letter (8.5 x 11 inches) | Ideal for newsletters, brochures, invitations, announcements, flyers, forms, and more.
Quantity: 100 sheets | Plenty of paper for a big project, or to last a long time.
Bush Business Furniture Easy Office 66"H x 119"W 4 Person X-Shaped Cubicle Panel Workstation, Natural Elm (EODH76SNE-03K)
Item #: 901-24647311
Item #: 901-24647311
Bundle Includes: Set of 4 60W x 24D Straight Office Desks, Set of 4 36W x 24D Desk Returns, Set of 4 60W x 66H Cubicle Panels with Corner Connectors, Set of 4 3 Drawer Mobile File Cabinets
Hassle-Free Setup: Quick and easy assembly with pre-installed connectors designed to have your office up and running in no time
Reversible Configuration: Computer desk and return surfaces connect to form right or left-handed L shaped workstations
Texas Instruments CXII TI-Nspire CAS Graphing Calculator, Black (NSCXCASII/TBL)
Item #: 901-937981
Item #: 901-937981
Graphing calculator offers 3.2" LCD display for showing graphs and charts
Explore math expressions in symbolic form, see patterns, and understand the math behind the formulas
Dimensions: 0.79"H x 3.54"W x 7.48"D
$219.49
Per each
Tampax Pearl Super Absorbency Tampons, 18/Box (00073010002289)
Item #: 901-285351
Item #: 901-285351
Free of perfume, chlorine bleaching, and dyes
Anti-Slip Grip for easy tampon insertion
FormFit gently expands to your individual shape
$12.99
Per box
Newhouse Lighting Oxford LED Desk Lamp, 13"H, Black (NHDK-OX-BK)
Item #: 901-NHDKOXBK
Item #: 901-NHDKOXBK
From the durable flexible neck, the metal base and lampshade, the Oxford is carefully constructed with high quality materials and designed to fit anywhere.
Classic lamp design meets small form factor. Place the Oxford on your bedside table, coffee table, study or dorm room.
The flexible neck makes it easy to find the lighting angle if being used as a reading lamp. Simple, lightweight and perfect item for back to school season and dorm room essentials.
JAM PAPER 8.5" x 11" Vellum Bristol Cardstock, 110lb, Canary Yellow, 100/pack (816917020G)
Item #: 901-24565147
Item #: 901-24565147
Color: Canary Yellow | Our premium solid core cardstock shows no white when folding, tearing, or cutting; its colorful all the way through! This vellum cardstock is NOT translucent, but JAM Paper does carry that in multiple colors if its what you a
re looking for. ...
re looking for. ...
Size: Letter (8.5 x 11 inches) | Ideal for newsletters, brochures, invitations, announcements, flyers, forms, and more.
3M Gel Wrist Rest for Keyboards, Black, Soothing Gel Technology for Comfort and Support (WR85B)
Item #: 901-1989935
Item #: 901-1989935
Like a satin pillow for your wrist. Stay in the zone with good form and comfort with wrist rests containing 3M Gel Technology.
Sleek profile uses minimal desk space and is easy to pick up and move around.
Family of 3M Workspace Solutions enhance comfort and productivity helping you get and stay “in the zone” for optimal performance.
JAM PAPER 8.5" x 11" Color Cardstock, 65lb, Yellow, 100/pack (104018G)
Item #: 901-24565127
Item #: 901-24565127
Color: Yellow | Our premium solid core cardstock shows no white when folding, tearing, or cutting; its colorful all the way through!
Size: Letter (8.5 x 11 inches) | Ideal for newsletters, brochures, invitations, announcements, flyers, forms, and more.
Quantity: 100 sheets | Plenty of paper for a big project, or to last a long time.
Ultima 20 TENS Unit
Item #: 901-U20
Item #: 901-U20
Includes pair of lead wires, 2 packs of 2" round electrodes (4 per pack), 2 AA batteries, carrying case, user manual and belt clip
Features 5 modes with dual channels, 3 wave forms and 20 treatment modes
Body part specific settings provide easy set-up and application
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