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Insurance Chart File Medical Labels, Insurance, Fluorescent Red, 1-3/4x3-1/4", 500 Labels
Item #: 901-39519
500 Fluorescent Red "Insurance" labels per package, each with 5 lines
Pressure-sensitive for easy application
Size: 3-1/4" x 1-3/4"
ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
Item #: 901-CMS12LC250
Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
This form was revised to align the paper form with some of the changes in the electronic healthcare claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
The most significant change was the addition of 8 diagnosis codes in field 21
Insurance Chart File Medical Labels, Insurance, Fluorescent Red, 5/16x1-1/4", 500 Labels
Item #: 901-34727
Legend: Insurance
Material: Label stock paper
Pressure-sensitive for easy application
Insurance Chart File Medical Labels, Medicaid, Fluorescent Pink, 7/8x1-1/2", 500 Labels
Item #: 901-34073MAP
Each label measures 7/8"H x 1 1/2"W
Fluorescent pink
Legend: Medicaid
Insurance Chart File Medical Labels, Referral Needed, Fluorescent Pink, 5/16x1-1/4", 500 Labels
Item #: 901-39642
500 Fluorescent Pink "Referral Needed" labels per roll
Pressure-sensitive for easy application
Size: 1-1/4" x 5/16"
Insurance Chart File Medical Labels, Co-pay, Fluorescent Red, 7/8x1-1/2", 500 Labels
Item #: 901-39342
Legend: Attention Office Staff: Co-pay
Material: Label stock paper
Print technology: Write-on
Insurance Chart File Medical Labels, Medicare, Fluorescent Orange, 5/16x1-1/4", 500 Labels
Item #: 901-34711
Fluorescent orange
Brightly-colored mini labels keep your charts up-to-date with the constant changes in the insurance industry
Legend: Medicare
TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
Item #: 901-519727
Designed for hospitals to file a medical claim with the patient's insurance carrier
One-part health insurance forms
Contains 2500 forms per carton
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
Item #: 901-125557
Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
Item #: 901-CMS12LC1
Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
Medical Arts Press® Large Chart Divider Tabs, Insurance, Lt. Blue
Item #: 901-32779
Scored for easy application
Permanent adhesive backing with laminated mylar coating
Use with Dividers 20256 and 20257
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
Item #: 901-CMS12LC500
Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV)
Item #: 901-309934
Satisfy record keeping requirements with these health insurance claim forms
Number of parts: 1
Contains 500 forms per package
Baumgarten's SICURIX ID Badge Holders, Clear, 50/Pack (67840)
Item #: 901-903136
Fasten this ID badge holder to clothing, bags, and more to keep your hands free
Alligator clip for easy attachment
Provides protection and easy access for inserted convention size ID card
Custom 1-2 Color Appointment Cards, Blue Index 110# Cover Stock, Raised Print, 1 Standard Ink, 1-Sided, 250/Pk
Item #: 901-QCAC00026
250 appointment cards per pack
Soft blue 110# index cover stock
2" x 3.5" - Horizontal or Vertical Orientation
Medical Arts Press® Chiropractic Registration and History Form without Updates, Sky Blue, 250 Forms/Pack (20572)
Item #: 901-20572
Forms ensure reimbursement, improve risk management and document your clinical process
Comprehensive color forms include areas for complete registration and history information, reason for visit, type of pain, site of pain or numbness
Also features areas for severity, onset, effect on daily activities, and co
$76.29
1 pack
($0.31/EACH)
Save 6%
$71.99
2+ pack
($0.29/EACH)
Insurance Chart File Medical Labels, HMO, Fluorescent Chartreuse, 7/8x1-1/2", 500 Labels
Item #: 901-39619
Fluorescent chartreuse
Legend: HMO
Material: Label stock paper
Medical Arts Press Registration Form; Smile Team
Item #: 901-21784
Comprehensive form gathers complete insurance information, making it easier for you to process claims
Friendly "happy teeth" design welcomes patients
Printed in 2-color on two sides on 24-lb. white bond paper
$80.29
1 pack
($0.32/EACH)
Save 7%
$74.79
2+ pack
($0.30/EACH)
Pendaflex A-Z Index File Guide, Letter Size, Assorted Colors, 25/Pack (PFX 40142)
Item #: 901-2656742
Colorful guides with preprinted top tabs
Tear-, wear- and moisture-resistant polypropylene
Manufacturer's lifetime guarantee
Medical Arts Press® Dental Registration and History Form; Tooth Border, 250 Sheets/Pack (20596)
Item #: 901-20596
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
Adams CMS-1500 1 Part Health Insurance Claims, 100/Pack (ABF CMS1500L1V)
Item #: 901-486075
Satisfy record keeping requirements with these health insurance claim forms
Number of parts: 1
Contains 100 forms per package
Custom 4-1/2" x 9" Insurance Claim Left Window Envelopes with Security Tint, 24# White Wove, 1 Standard Ink, 250 / Pack
Item #: 901-QCENV00713
4-1/2" x 9" Envelopes, Gum Seal with Security Tint
24# White Wove Stock with Security Tint, Flat Ink
Window is 4-1/4" x 1-1/2", 1-1/4" from bottom and 3/4" from left side
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
Item #: 901-2408453
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
Top sensor bar for microfiche duplication, as required in some states
OCR red ink for scanning
