Page 62 of hcfa cms 1500 health insurance business forms
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Xerox Revolution Premium Digital Carbonless Paper, 8.5" x 11", White/Pink/Canary, 167/Ream (3R12424)
Item #: 901-827908
Item #: 901-827908
Carbonless paper is great for important forms created on variety of digital printers
Paper measuring: 8.5"W x 11"L (US letter)
Three-part reverse sheets come in white, pink, and canary colors
$163.89
Per ream
2026 Willow Creek Cats by Gary Patterson 6.5" x 8.5" Daily & Monthly Personal Organizer (54604)
Item #: 901-24654956
Item #: 901-24654956
PLAN IN STYLE – Stay organized in 2026 with our plastic-free 6.5” x 8.5” engagement calendar. Enjoy crisp, colorful imagery throughout, alongside ample space for your weekly plans, notes, and to-do lists. This planner contains 26 full-color images in
side (every other week). Its compact size fits easily into bags and purses, ensuring you're always organized on the go. ...
side (every other week). Its compact size fits easily into bags and purses, ensuring you're always organized on the go. ...
PICTURE-PERFECT QUALITY – Our engagement calendars prioritize form and function with high-quality paper to ensure smooth writing, soy-based inks that provide crisp readability, and a secure spiral binding for lay-flat pages that makes jotting down no ...
Epson LQ 2090II NT Network Impact USB & Ready Black & White Dot Matrix Printer (C11CF40202)
Item #: 901-24357619
Item #: 901-24357619
Low cost of ownership ? up-to-8-million-character ribbon cartridge2 offers a low cost per page and reduces the frequency of user interventions
Powerful productivity ? ultra fast, wide-format, 24-pin printer speeds through multipart forms and reports at up to 584 cps1
Advanced paper handling ? simple paper path for remarkable reliability; accommodates cut-sheet paper and continuous or multipart forms up to 7 pages thick
Scotch Furniture Sliders, Black/Beige, 16/Pack (SP674-NA)
Item #: 901-24598039
Item #: 901-24598039
MOVE HEAVY FURNITURE: The slick surface on the bottom of these furniture sliders makes it easier to push large furniture so you can redecorate in a snap
STRONG ADHESIVE FEET: These stick-on furniture movers feature a strong adhesive that forms a strong bond with chair legs
MADE FOR YOUR FURNITURE: Our furniture moving pads work on all types of furniture including heavy couches, dressers, armoires, beds, heavy tables, arm chairs, and strong chests
JAM Paper Glossy 2-Sided Tabloid Cardstock, 80 lb., 11" x 17", White, 50 Sheets/Pack (236937597)
Item #: 901-24508417
Item #: 901-24508417
Color: White | Make your work stand out with premium colorful cardstock.
Size: Tabloid (11 x 17 inches) | Ideal for newsletters, brochures, invitations, announcements, flyers, forms, and more.
Quantity: 50 sheets | Plenty of paper for a big project, or to last a long time.
GOJO Supro Max Liquid Hand Soap Refill for PRO TDX Dispenser, 5000 ml., 2/Carton (7572-02)
Item #: 901-775172ORS
Item #: 901-775172ORS
Form: Liquid
Appearance: Beige
Easily removes tough, sticky soils grime and adhesives
SanDisk Ultra 64GB SDXC Memory Card, Class 10, UHS-I (SDSDUNB-064G-AN6IN)
Item #: 901-IM1S31826
Item #: 901-IM1S31826
The card features a 64GB storage capacity in a standard SDXC form factor, ideal for storing high-resolution photos and Full HD videos on cameras and camcorders.
Rated as Class 10 with UHS-I (U1) speed compatibility, ensuring smooth Full HD (1080p) video recording and efficient performance for still photography.
Provides a maximum read speed of up to 140 MB/s for fast file transfers and a minimum write speed of 10 MB/s to meet Class 10 standards.
GOJO Foaming Hand Soap Refill for ADX 12 Dispenser, Citrus Ginger Scent, 1250 ml., 3/Carton (GOJ881303)
Item #: 901-318606LAG
Item #: 901-318606LAG
Physical Form: Foam
Application: Hand
For use with: GOJO ADX-12 dispensers
Printworks Professional 8.5" x 11" Multipurpose Paper, 24 lbs., 92 Brightness, 500/Ream, 5 Reams/Carton (04118P)
Item #: 901-195476LMP
Item #: 901-195476LMP
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)
ULTRAK 320 24-Hour Stop Watches, Black (CEI320BLK)
Item #: 901-CEI320BLK
Item #: 901-CEI320BLK
Displays cumulative splits, perfect for tracking student progress or monitoring timed work sessions
Measures up to 24 hours, ideal for everything from quick classroom activities to long-form projects
Includes time, calendar, alarm, and hourly chime functions for daily scheduling and reminders
Avery Pin-Fed Address Labels, White, 1-7/16" x 4", White, 5,000 Labels/Pack (4014)
Item #: 901-166454
Item #: 901-166454
These continuous form computer labels for pin-fed printers enable you to produce thousands of professional-looking labels without reloading or reprinting
Individual labels measure 1.44"H x 4"W
White color for an attractive look
$86.19
1-5 box
Save 18%
$70.99
6+ box
Ergodyne ProFlex 7000 Nitrile Coated Gloves, Microfoam Palm, ANSI Level 5 Abrasion Resistance, Gray, Medium, 1 Pair (10373)
Item #: 901-10373ERG
Item #: 901-10373ERG
ABRASION RESISTANT - ANSI level 5 abrasion resistance for protection when working with rough materials
FLEXIBLE NO-SLIP GRIP - Microfoam nitrile coated palms provide excellent grip, dexterity and feel for all-purpose handling on a variety of surfaces
LIGHTWEIGHT FORM FIT - 15-gauge seamless nylon-spandex knit with microfoam nitrile coating moves with you for enhanced dexterity and minimal hand fatigue
Ergodyne ProFlex 7030 PU Coated Cut-Resistant Gloves, ANSI A3, Gray, Large, 1 Pair (10464)
Item #: 901-10464ERG
Item #: 901-10464ERG
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
Teacher Created Resources 10-Pocket File Storage Pocket Chart, 14" x 58", Black (TCR20841)
Item #: 901-24322776
Item #: 901-24322776
Perfect for organizing student files, file-folder games, forms, and other paperwork.
Measures 14" x 58".
Strong, durable and convenient
14" x 10" x 7" Shipping Boxes, 32 ECT, Brown, 25/Bundle (14107)
Item #: 901-814094
Item #: 901-814094
These cartons were designed to fit the most popular paper sizes.
Prevent damage to forms, catalogs, letterhead and other printed material by using the right size carton.
Boxes are manufactured from ECT-32 kraft corrugated.
Vangoddy 14" Laptop Sleeve, Purple (NBKLEA615)
Item #: 901-2435043
Item #: 901-2435043
Form fitting sleeve with quick top loading access
Slim design allows you to carry the case by itself or in a bag
Water resistant Protective Neoprene material offers lightweight design and superior protection
Azar Sign Holder, 18" x 11", Vertical, Table Top, Clear, Acrylic, 2/Pack (252058-2-PACK)
Item #: 901-2103706
Item #: 901-2103706
This sign holder can be displayed on any flat surface
Clear acrylic
The attached brochure holder provides easy distribution of company or product pamphlets & forms
JAM PAPER 8.5" x 11" Colored Cardstock, 65lb, Blue, 100/pack (101899G)
Item #: 901-24565099
Item #: 901-24565099
Color: Blue | 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 per pack | Plenty of paper for a big project, or to last a long time.
Ergodyne ProFlex 7000 Nitrile Coated Gloves, Microfoam Palm, ANSI Level 5 Abrasion Resistance, Gray, XL, 1 Pair (10375)
Item #: 901-10375ERG
Item #: 901-10375ERG
ABRASION RESISTANT - ANSI level 5 abrasion resistance for protection when working with rough materials
FLEXIBLE NO-SLIP GRIP - Microfoam nitrile coated palms provide excellent grip, dexterity and feel for all-purpose handling on a variety of surfaces
LIGHTWEIGHT FORM FIT - 15-gauge seamless nylon-spandex knit with microfoam nitrile coating moves with you for enhanced dexterity and minimal hand fatigue
Bazic Foam Board, 20" x 30", Black, White Foam Core, 6/Bundle (BAZ594-6)
Item #: 901-24612817
Item #: 901-24612817
Great for arts, crafts, framing, mounting, displays, presentation, exhibits, posters, school projects, model making, sign, promotion, scrapbooking, and sporting events.
Measures 30" x 20" x 3/16" thick.
Double-sided foam-core board. Made with polystyrene extruded foam, laminated between two sheets of paper to form a smooth surface. Colored on one side.
LUX Security Tinted #6 1/4 Business Envelope, 3 1/2" x 6", White, 500/Pack (WS-0056-500)
Item #: 901-2146267LUX
Item #: 901-2146267LUX
#6 1/4 regular envelopes (3-1/2" x 6") - 24 lb. white w/ security tint 500/PK
Protect your privacy when sending checks, forms or other sensitive information; the tinted pattern inside discourages reading sensitive information through the envelope
Moistenable glue sealing method
2026-2027 Willow Creek 3.5" x 6.5" Academic Weekly & Monthly Planner, Camel Leatherlike (64603)
Item #: 901-24683530
Item #: 901-24683530
PLAN IN STYLE – Stay organized with our 3.5” x 6.5” Academic Weekly Spiral Planners. A compact, travel-sized companion, this planner is the perfect tool for managing schedules at a glance.
PICTURE-PERFECT QUALITY – Our Academic Weekly Spiral Planners prioritize form and function. High-quality paper ensures smooth writing, soy-based inks provide crisp readability, and the secure spiral binding compliments lay-flat pages that make jottin
g down notes a breeze. ...
g down notes a breeze. ...
Texas Instruments TI-84 Plus 10-Digit Graphing Calculator, Black 10/PK
Item #: 901-CDTI84PLUS
Item #: 901-CDTI84PLUS
A total of 10 TI84PLUS graphing calculators comes in this pack
Graphing calculator offers 10-digit 8-line LCD display for showing graphs and charts
Explore math expressions in symbolic form, see patterns, and understand the math behind the formulas
Tide PODS HE 3-in-1 Laundry Detergent Capsules, Spring Meadow, 85 oz., 112 Capsules/Pack, 4 Pack/Carton (03250CT)
Item #: 901-24663542
Item #: 901-24663542
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
$140.49
Per carton
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