Page 67 of hcfa cms 1500 health insurance business forms
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Bush Business Furniture Stratus 60"W Electric L-Shaped Adjustable Standing Desk with Drawers, White (SUT017WH)
Item #: 901-24649045
Item #: 901-24649045
Form Meets Function: All the ergonomic benefits of a standing desk with the professional look of an office desk — complete with modesty panels and built-in storage and wire management
Fits People of all Heights: Adjustable desk surface lifts anywhere from 27 to 46.7 inches from the floor at a speed of 0.78 inches per second
Easy to Use, Intuitive Controls: Simple control panel allows for quick adjustments; just lift up or press down to change the sit-stand desk's height
Plugable USB C Cube - Mini Docking Station (UD-CUBE)
Item #: 901-IM16NN637
Item #: 901-IM16NN637
Connectivity - Enables compatible USB-C and Thunderbolt 3 equipped Mac, Windows and Chromebook systems to connect to a single 4K HDMI monitor, 2 USB 2.0 devices, 1 USB 3.0 device and wired gigabit Ethernet. Note: DisplayPort monitors not supported.
Compact Design - Small-scale cube form factor saves valuable desk space at any workstation. Sleek design makes this light-weight dock (130g) perfectly suited for travel, quick setup at conferences or simple connectivity in the meeting room.
Compatibility Guarantee - Host laptops must be equipped with a USB-C port supporting DisplayPort Alternate Mode. Examples include 2018 MacBook Pro, 12" Retina MacBook, Microsoft Surface Book 2, HP Spectre x360 13", Dell XPS (9360, 9560, 9370, 9380). ...
Bankers Box Staxonsteel Storage Drawer, Letter Size, Black (00511)
Item #: 901-113902
Item #: 901-113902
Stacks 10 high – Store 80% more records in the same floor space
Steel framework interlocks vertically and horizontally to withstand the heaviest day-to-day usage
Steel stacker bars form a sturdy framework that won’t buckle, twist or bend and offer space-saving stackability with the accessibility of a filing cabinet
$72.99
Per each
Adesso Wireless Ergonomic Keyboard and Mouse Combo, Black (WKB-1600CB)
Item #: 901-IM15GM060
Item #: 901-IM15GM060
Wireless Ergonomic Design: Split key zones and sloped shape provide natural positioning for hands, wrists, and forearms for maximum comfort
2.4 GHz RF Technology: Wireless connectivity with a 30 ft range and on/off switch to conserve battery life
Adjustable DPI Optical Mouse: Switch between 800, 1200, and 1600 DPI for precision control; includes navigation hotkeys for easy web browsing
Bush Furniture Somerset 72"W 3 Position Sit to Stand L Shaped Desk, Mocha Cherry (SET014MR)
Item #: 901-24388737
Item #: 901-24388737
42W Sit to Stand Return attaches to either side of the 72W Office Desk with Drawers to form an L shaped configuration
Lift-n-Lock Desktop can be set at 3 standing height positions: 35, 38 or 41 inches and easily returns to seated height
Desktop includes a convenient wire management grommet to keep cords and cables out of the way
Numbered Self Duplicating Vertical RX Pads, 50 Pads per Pack
Item #: 901-QRX16040N
Item #: 901-QRX16040N
6-3/4" Pads with 5" x 3-3/8" Self-duplicating forms
50 Pads per Pack, 100 Sheets per Pad
Just fold and write - smudge-free carbonless duplicates are clean and automatic
Teacher Created Resources Smart Start 1, 2 Writing Paper, Printed, Letter 8.5" x 11", White Paper, 360 Sheet
Item #: 901-JV1387979
Item #: 901-JV1387979
Bold graphics in blue, green and red promote the feeling of success as children simply "Start at the Sky and pull down to the Ground" to form letters correctly
Motivational message is printed at the top to keep young learners motivated throughout each lesson
Writing paper is designed for children in first-grade and second-grade
Desitin Daily Defense Diaper Rash Cream, 4 Oz (2091454)
Item #: 901-2091454
Item #: 901-2091454
4-ounces of Desitin Daily Defense Baby Diaper Rash Cream that works from the first use to help soothe, treat and prevent diaper rash
From the #1 choice for diaper rash relief by Pediatricians and parents, this infant skin barrier cream instantly forms a protective layer on your baby's skin for diaper rash relief and prevention
Made with 13% zinc oxide skin protectant, its fast-acting hypoallergenic formula helps seal out wetness to treat diaper rash from the first signs and is clinically shown to provide diaper rash relief
$12.79
Per each
Hammermill 11" x 17" Colored Copy Paper, 20 lbs., Green, 500 Sheets/Ream, 5/Reams (102186CT)
Item #: 901-24617763
Item #: 901-24617763
DEPENDABLE COLORED PAPER – Hammermill Colors 11" x 17" green 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.
$89.99
Per carton
($18.00/Ream)
SaharaCase StickOn Silicone Case for Apple AirTag, Black/White/Blue/Green, 4/Pack (AT00024)
Item #: 901-24558224
Item #: 901-24558224
Case for Apple AirTag - Fits snugly over your AirTag, so you never have to worry about it falling out.
Triple silicone material - Helps guard your device against scratches and dirt.
Lightweight form-fitting design - Enhances portability and creates a stylish look.
JAM PAPER 8.5" x 11" Vellum Bristol Cardstock, 67lb, Grey, 100/pack (169827G)
Item #: 901-24565107
Item #: 901-24565107
Color: Grey | 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.
Zebra TC2X Series Mobile Computer (WLMT0-T22B6ABE2-NA)
Item #: 901-IM113JW59
Item #: 901-IM113JW59
The Zebra TC22 is a rugged handheld terminal designed for retail, field service, courier, and warehouse operations. It delivers enterprise-grade scanning, wireless connectivity, and Android OS in a compact form factor, ideal for mobile professionals
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who n ...
The TC22 features a slim, ergonomic design measuring approximately 6.5 inches in length, 3 inches in width, and 0.4 inches in depth, with a weight of 8.48 ounces. Its phone-sized form factor fits easily in holsters or vehicle cradles, offering comfor ...
Kum Pencut Scissors In Pen Format Scissors Pen (507.11.21)
Item #: 901-2134697ASN
Item #: 901-2134697ASN
Scissors formed into a compact writing pen shape
Easy to use, and safe to carry
Can be adapted for use by right or left-handed persons
2026 Willow Creek Celestial 3.5" x 6.5" Weekly & Monthly Planner, Paperboard Cover (57322)
Item #: 901-24650458
Item #: 901-24650458
PLAN IN STYLE – Stay organized with our 3.5” x 6.5” Softcover Weekly Spiral Planners. A compact, travel-sized companion, this planner is the perfect tool for managing schedules at a glance.
PICTURE-PERFECT QUALITY – Our Softcover Weekly Spiral Planners prioritize form and function. High-quality paper ensures smooth writing, soy-based inks provide crisp readability, and the secure spiral binding offers lay-flat pages for jotting down not
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Teacher Created Resources Magnetic Letters Deluxe Set, 130 Pieces (TCR77582)
Item #: 901-24610269
Item #: 901-24610269
Set comes in a sturdy plastic case with a handle for easy transportation and storage, plus provided labels make organization easy
Set includes 52 uppercase letters (2 of each letter) and 78 lowercase letters (3 of each letter).
Vowel letters in red and consonants in blue, children can transition from recognizing individual letters to forming words and sentences
Dental Lab RX Pads, Single Copy, 25 Pads per Pack
Item #: 901-QRX16046
Item #: 901-QRX16046
10" x 8-1/2", perforated down the middle for a form size of 5" x 8-1/2"
25 Pads per Pack, 100 Sheets per Pad
Self-duplicating carbonless form – simply fold and write
Bush Business Furniture Stratus 72"W Electric L-Shaped Adjustable Standing Desk with File Cabinet, White (SUT016WH)
Item #: 901-24649042
Item #: 901-24649042
Form Meets Function: All the ergonomic benefits of a standing desk with the professional look of an office desk — complete with a sleek leg cover, modesty panels, and built-in storage and wire management
Fits People of all Heights: Adjustable desk surface lifts anywhere from 27 to 46.7 inches from the floor at a speed of 0.78 inches per second
Easy to Use, Intuitive Controls: Simple control panel allows for quick adjustments; just lift up or press down to change the sit-stand desk's height
Bush Business Furniture Stratus 60"W Electric Adjustable Standing Desk with Drawers and Panel, Platinum Gray (SUT011PG)
Item #: 901-24646744
Item #: 901-24646744
Form Meets Function: All the ergonomic benefits of a standing desk with the professional look of an office desk — complete with a modesty panel and built-in storage and wire management
Fits People of all Heights: Adjustable desk surface lifts anywhere from 27 to 46.7 inches from the floor at a speed of 0.78 inches per second
Easy to Use, Intuitive Controls: Simple control panel allows for quick adjustments; just lift up or press down to change the sit-stand desk's height
Bush Furniture Somerset 72"W 3 Position Sit to Stand L Shaped Desk, Platinum Gray (SET014PG)
Item #: 901-24458830
Item #: 901-24458830
42W Sit to Stand Return attaches to either side of the 72W Office Desk with Drawers to form an L shaped configuration
Lift-n-Lock Desktop can be set at 3 standing height positions: 35, 38 or 41 inches and easily returns to seated height
Desktop includes a convenient wire management grommet to keep cords and cables out of the way
Medical Arts Press® File Folder Dividers, Side-Flap with Pockets
Item #: 901-35484
Item #: 901-35484
Divider with 5.5-Inch Deep Pockets on Both Sides of Divider
Self-Adhesive Dividers Quickly Convert File Folders To Divided Folders
Just Fold On Score Line to Form Fa Flap Then Remove Protective Strip Over Adhesive and Affix to Folder
$75.99
Per box
($0.76/EACH)
Beats Flex Wireless Earbuds Headphones, Bluetooth, Black (MYMC2LL/A)
Item #: 901-24469851
Item #: 901-24469851
Up to 12 hours of listening time
All-day comfort with Flex-Form cable and four eartip options
10-minute Fast Fuel charging gives 1.5 hours of playback
DataProducts Black Dot-Matrix Printer Ribbon (R6800)
Item #: 901-R6800
Black
For use with: Printronix 300, 600, P6000
Compatible
Dell OptiPlex 7090 SFF Refurbished Desktop Computer, Intel Core i5-10500 3.1GHz, 16GB RAM, 512GB SSD, Windows 11 Pro
Item #: 901-24613993
Item #: 901-24613993
Fast and Reliable Intel Core i5-10500 3.1GHz
16 GB DDR4 SDRAM Optimized for Multitasking
512GB SSD for Faster Boot, Smoother Performance
This product is not eligible for earning points.
Union & Scale™ MidMod 60"W Computer and Writing Storage Desk, Espresso (UN56950)
Item #: 901-24398973
Item #: 901-24398973
MidMod, a collection by Union & Scale
Geometric forms and clean lines of this mid-century modern storage desk with storage allow you to curate an inspired office space
Comes in espresso
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