Page 4 of hippa business tax forms
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Ribbon, Printek FormsPro 400, 4mil, Nylon, Black
Item #: 369-919127
For Printek Printers FormsPro 4000, 4003, 4300, 4500, 4503
Matrix Nylon
Impact print technology offers high-quality prints
$32.99
Per each
ComplyRight Personnel Folders, 3-Part, 25 Forms/Pack (A3103)
Item #: 550-1949185TFP
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"
$147.20
Per each
ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
Item #: 369-24602229
Forms conform to the Health Insurance Portability and Accountability Act (HIPAA)
Forms provide a common format for reporting dental services to a patient's dental benefit plan
ADA policy promotes use and acceptance latest version ADA Dental Claim Forms by dentists and payers
$14.89
Per each
ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)
Item #: 550-24602228
Forms conform to the Health Insurance Portability and Accountability Act (HIPAA)
Forms provide a common format for reporting dental services to a patient's dental benefit plan
ADA policy promotes use and acceptance latest version ADA Dental Claim Forms by dentists and payers
$38.95
Per each
HP OfficeJet 8015e Wireless Color Inkjet Printer, All-In-One, Print, Scan, Copy (228F5A#B1H)
Item #: 369-24549514
BEST FOR SMALL BUSINESSES AND HOME OFFICES – Print professional-quality color documents like forms, reports, brochures and presentations.
KEY FEATURES – Fast color print, copy and scan, plus 2-sided printing, mobile and wireless printing, and an auto document feeder.
DUAL BAND WI-FI – Self-healing Wi-FiTM automatically detects and resolves connection issues.
$169.99
Per each
ComplyRight™ HIPAA Notice of Privacy Practices Poster (A2123)
Item #: 550-728245
Communicates mandatory HIPAA rules to patients
Laminated
Informs patients of their rights and responsibilities under HIPAA regulations
$25.95
Per each
ComplyRight HIPAA Patient Consent and Authorization Form (A1350)
Item #: 550-398021
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"
$56.95
Per pack
Texas Instruments TI-84 PLUS Graphing Calculator, Black (TI84PLUS)
Item #: 369-TI84PLUS
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
Dimensions: 2"H x 10"W x 13"D
$131.49
Per each
ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241)
Item #: 550-24602226
Forms conform to the Health Insurance Portability and Accountability Act (HIPAA)
Forms provide a common format for reporting dental services to a patient's dental benefit plan
ADA policy promotes use and acceptance latest version ADA Dental Claim Forms by dentists and payers
$84.95
Per each
HON Hanging Racks, Letter/Legal, Gray, 4/Set (H919491)
Item #: 369-919491
This set of single-rail hanging racks accommodates front-to-back filing for higher storage density and is compatible with 30"W, 36"W, and 42"W lateral file drawers
Durable precision-formed steel construction with gray finish for strength and consistent quality
Convert one 36"W file drawer to accommodate legal-size files or increase filing capacity of two 30/36"W letter-size drawers with one set of hanging racks measuring 0.69"H x 15.02"W x 0.97"D
$68.29
Per pack
($17.07/EACH)
Texas Instruments TI-83 PLUS Graphing Calculator, Black (TEX-TI 83 PLUS)
Item #: 550-TI83PLUS
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
Dimensions: 1"H x 3.5"W x 7.3"D
$98.19
Per each
Lexmark Re-Ink Printer Ribbon, 3070166, Black
Item #: 550-935716
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
$15.99
Per each
ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)
Item #: 550-24602227
Forms conform to the Health Insurance Portability and Accountability Act (HIPAA)
Forms provide a common format for reporting dental services to a patient's dental benefit plan
ADA policy promotes use and acceptance latest version ADA Dental Claim Forms by dentists and payers
$59.95
Per each
Bankers Box Liberty Corrugated File Storage Boxes, String & Button Closure, Check & Form Size, White/Blue, 12/Carton (00005)
Item #: 550-FF5
String & button, basic-duty box perfect for storing checks and forms
White/Blue corrugated storage box with standard assembly is sturdy and lightweight
Check Size, holds 10.75" x 23.27" files
$190.61
Per carton
($15.88/EACH)
Bankers Box Liberty Corrugated File Storage Boxes, String & Button Closure, Check & Form Size, White/Blue, 12/Carton (00022)
Item #: 550-FF22
String & button, basic-duty box perfect for storing checks and forms
White/Blue corrugated storage box with standard assembly is sturdy and lightweight
Form Size, holds 6" x 9.5" files
$161.03
Per carton
($13.42/EACH)
Epson FX-890II USB/Parallel Impact Monochrome Dot Matrix Printer, Black (C11CF37201)
Item #: 369-24301559
Extreme reliability - long life cycle; durable design with very few moving parts; withstands dust, humidity and extreme temperatures
Low cost of ownership - up-to-7.5-million-character ribbon cartridge offers a low cost per page and reduces the frequency of user interventions
Powerful productivity - ultra-fast 9-pin printer speeds through multipart forms and reports at up to 738 cps
$499.99
Per each
Epson LQ 2090II USB/Parallel Black & White Dot Matrix Printer (C11CF40201)
Item #: 369-24373834
Extreme reliability ? long life cycle; durable design with very few moving parts; withstands dust, humidity and extreme temperatures
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
$576.99
Per each
Bankers Box Liberty Corrugated File Storage Boxes, String & Button Closure, Check & Form Size, White/Blue, 12/Carton (00007)
Item #: 550-FF7
String & button, basic-duty box perfect for storing checks and forms
White/Blue corrugated storage box with standard assembly is sturdy and lightweight
Check Size, holds 9.5" x 23.27" files
$188.14
Per carton
($15.68/EACH)
Casio FX-9750GIII Graphing Calculator, Black
Item #: 369-24431365
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
$61.39
Per each
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
Item #: 550-398026
Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
HIPAA compliant
Size: 8 1/2" x 11"
$38.97
Per pack
Bankers Box Liberty Corrugated File Storage Boxes, String & Button Closure, Check & Form Size, White/Blue, 12/Ct (00006)
Item #: 550-510583
String & button, basic-duty box perfect for storing checks and forms
White/Blue corrugated storage box with standard assembly is sturdy and lightweight
Check Size, holds 5 3/4" x 9" x 23 1/4" files
$144.06
Per carton
Custom HIPAA Privacy Practice Acknowledgment Forms, 8-1/2" x 11", 200 Sheets per Pack
Item #: 901-QFN155811R
For use in patient charts
8-1/2" W x 11" L
White 20# text stock; printed in black ink
LUX Security Tinted #7 Business Envelope, 3 3/4" x 6 3/4", White, 500/Pack (WS-1128-500)
Item #: 369-2146256LUX
#7 regular envelopes (3-3/4" x 6-3/4") - 24 lb. white with security tint 500/PK
The mail system workhorse, great for personal or corporate business
Protect your privacy when sending checks, forms or other sensitive information
$66.89
Per pack
($0.13/EACH)
Texas Instruments CXII TI-Nspire Graphing Calculator, White (NSCX2/TBL/1L1)
Item #: 369-321965
Graphing calculator offers 3.5" 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
$180.09
Per each
