Page 7 of hcfa cms 1500 health insurance business forms
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Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x11", 18-lb.
Item #: 901-710601
Item #: 901-710601
Business computer paper is excellent for making carbonless copies
Paper dimensions: 14.875"W x 11"L
Paper weight: 18 lbs.
Custom Multi-Purpose Register Form, Classic Design, Large Format, 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D6102
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Compatible with 5 1/2 x 8 1/2" portable registers, sold separately
Medical Arts Press Vet Cage Card, Provides a Record of Twice Daily Care, 3 x 5", 250/Pack (20353)
Item #: 901-20353
Item #: 901-20353
Tracks appetite, medications, stool, urine, and vomit twice daily over several days
Also records walks taken
250 per package
Quill Brand® 20-lb. Bond Continuous Form Paper, 9-1/2x11", 1000/Ctn.
Item #: 901-710761
Item #: 901-710761
Reliable business paper is perfect for business use
Paper dimensions: 9.5"W x 11"L
Paper weight: 20 lbs.
Medical Arts Press® Progress Notes, Includes Name, Sex, Birthdate and Page Number
Item #: 901-20541NP
Item #: 901-20541NP
Type of form: Progress note
250 per pack
Size: 8 1/2" x 11"
ComplyRight HIPAA Patient Consent and Authorization Form (A1350)
Item #: 901-398021
Item #: 901-398021
Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
Complies with HIPAA’s authorization requirements
Size: 8 1/2" x 11"
Custom Multi-Purpose Register Form, Classic Design, Small Format, 3 Parts, 1 Color Printing, 4" x 6", 500/Pack
Item #: 901-D6093
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Compatible with 4 x 6" portable registers
7 lines enable most orders to fit on a single form
ComplyRight Performance Appraisal, 50 Forms/Pack (A2192)
Item #: 901-2548974
Item #: 901-2548974
Helps you communicate your expectations clearly and provides employees with a tangible way to gauge their progress
Creates a consistent, timesaving review process
Attorney-developed to ensure 100% compliance
ComplyRight Personnel Folders, 3-Part, 25 Forms/Pack (A3103)
Item #: 901-1949185TFP
Item #: 901-1949185TFP
Contains 3 folders: Hiring/Employment History, Payroll/Tax and Benefits/Insurance
Back side of organizer jacket explains what records you must keep and for how long
Organizer: 9.5" x 11.875" x 1.75"
Custom Carbonless Veterinarian Discharge Instructions, 5-1/2" x 8-1/2", 100 Sets per Pad
Item #: 901-QFW1609001
Self-duplicating; everything is printed on original and duplicate
5-1/2" W x 8-1/2" L
White self-duplicating carbonless stock; pre-printed in black ink
TOPS 2-Part Carbonless Receipts Book, 2.75"L x 7.13"W, 400 Forms/Book, Each (TOP 46816)
Item #: 901-587439
Item #: 901-587439
Money and rent receipt book is consecutively numbered for easy organization
Business form size: 2.75"L x 7.13"W
2-Part Carbonless forms for accurate record keeping
Custom Welcome Registration and History Forms, 8-1/2" x 11", 250 Sheets per Pack
Item #: 901-QFN117541R
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in burgandy ink
Adams 3-Part Carbonless Contractors Invoice Forms, 8.5"W x 11.44"L, 100/Pack (ABF NC3822)
Item #: 901-468744
Item #: 901-468744
Business form type: contractor invoice
Form size: 11.44"L x 8.5"W
Features a carbonless 3-part format and comes in white
ComplyRight Consecutive Employee Warning Report, 4-Part, 50 Forms/Pack (A2187)
Item #: 901-2548975
Item #: 901-2548975
Eliminates the need for multiple warning slips, saving time and paper
Encourages employee accountability by showing employees you are serious, but are willing to give them an opportunity to correct problems
Provides a space for employees to sign the Warning Notice, indicating that they understand the warning and the consequences if their performance does not improve
Custom Multi-Purpose Register Form, Colors Design, Large Format, 2 Parts, 1 Color Printing, 5 1/2" x 8 1/2", 500/Pack
Item #: 901-D610T2
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Preprinted areas simplify write-ups of customer information, salesperson, description of items, payment method & more
Compatible with 5 1/2 x 8 1/2" portable registers, sold separately
Medical Arts Press® Vet Cage Card; Identification Information, 4x6"
Item #: 901-20356
Item #: 901-20356
ComplyRight 2025 1099-INT Tax Form Envelopes, 4-Part, 2-Up, Copies A, B, C, 10/Pack (6106E10)
Item #: 901-24507936
Item #: 901-24507936
File form 1099-INT, interest income, for each person: to whom you paid amounts of at least $10 (or at least $600 of interest paid in the course of your trade or business)
4-Part Set with Envelopes, Copies A, B, C, 2-Up
1 Page Equals 2 Forms
TOPS 2-Part Money/Rent Receipt Book, 5.37" x 2.75", White, 50 Forms (46820)
Item #: 901-745091
Item #: 901-745091
5 3/8" x 2 3/4"
50 ruled forms
1 form per page
Rediform Money Receipts Collection Forms, Carbonless, 3 Parts, 2 3/4" x 7" (8L802)
Item #: 901-609032
Item #: 901-609032
Size: 2 3/4" x 7"
50 forms per book
1 form per page
TFP Self Seal Security Tinted Window Envelope 4-1/2" x 9-1/2", White, 500/Box (1500ES)
Item #: 901-1500ESQ
Item #: 901-1500ESQ
Self seal CMS-1500 right window envelope
HIPAA security tent, 24 lb. bond paper
Accommodates 12 folded CMS-1500 claim forms
Quill Brand® 1-Part Continuous Form Bond Paper, 14-7/8x8-1/2", 18-lb.
Item #: 901-710747
Item #: 901-710747
Business computer paper is excellent for making carbonless copies
Paper dimensions: 14.88"W x 8.5"L
Paper weight: 18 lbs.
Custom Carbonless 3-Part Forms, 5-1/2" x 8-1/2", 250 Sets per Pack
Item #: 901-QFNM3P1S1R
Design your own forms using your own artwork
5-1/2" W x 8-1/2" L
3-part, white/canary/pink, carbonless
Medical Arts Press® Vet Cage Card; Includes Categories for Post-surgical and Boarding Care, 3x5"
Item #: 901-20351
Item #: 901-20351
Medical Arts Press Log of Hospital Visits, Pocket-Sized, 2-Part
Item #: 901-20029
Item #: 901-20029
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
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