Page 2 of ingenix optum ebooks
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Medical Arts Press Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish (20743)
Item #: 901-20743
Collects printed name and relationship to patient
Medication list requests correlating diagnosis
Screens for artificial heart valves, artificial joints, heart
![PMIC Collections Made Easy! [3E] (Me149)](http://www.quill.com/is/image/Quill/67249B6D-2E6C-47B8-9C4890175B57C46A_s7?$im220$)
PMIC Collections Made Easy! [3E] (Me149)
Item #: 901-ME14923
The new third edition of our best-selling collection handbook is designed to help you learn how to collect your past-due accounts yourself, without giving up to half of your money away to collection agencies.
Packed with new information regarding the updated Fair Credit Reporting Act, the HIPAA privacy rule, revised forms, phone scripts, and updated information regarding Federal laws governing collection activities.
Numbered Optical RX Books, 2-Part Carbonless, 20 Books per Pack
Item #: 901-QRX16029N
5-1/2" x 4" 2-Part Pads - White, Yellow
20 Books per Pack, 50 Sets per Book
Includes a protective wrap-around cover
Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074043)
Item #: 901-24617597
Patient Sign-In Label forms to sign in your patients confidentially
HIPAA Compliant
125 Sheets Per Package
Optical RX Pads, Single Copy, White Paper, 10 Pads per Pack
Item #: 901-QNRX16030WH
5-1/2" x 4" White Single Copy Pads
10 Pads per Pack, 100 Sheets per Pad
Standard refill instructions printed on the pad
Medical Arts Press® Rx Blanks; Single Copy, Horizontal, 5-1/2x4"
Item #: 901-16010MAP
Blanks can be imprinted with doctor's name and feature standard refill instructions
Please specify State License and/or DEA numbers if desired
Numbering available
Medical Arts Press Standard Preprinted Chart Divider Tabs, Patient Information, Orange (30583)
Item #: 901-30583
Orange tab
100/box
Titles are printed in black ink on white stock with a color-coded edge
Patient Insurance Labels, Insurance Paid/You Owe, Fluorescent Pink, 1-3/4x3-1/4", 500 Labels
Item #: 901-35385
500 Fluorescent Pink "Insurance Paid/You Owe" labels per pack
Pressure-sensitive for easy application
Size: 3-1/4" x 1-3/4"
Medline Medication Envelopes, 3 1/2" x 2 1/4" Size, 500/Box
Item #: 901-113512MED
Medication Envelopes Type
Latex-free
3 1/2" x 2 1/4" Size
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
ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
Item #: 901-24602229
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
Numbered Vertical RX Pads, Single Copy, White Paper, 10 Pads per Pack
Item #: 901-QNRX1602WHN
4" x 5-1/2" Vertical White Single Copy Pads
10 Pads per Pack, 100 Sheets per Pad
Standard refill instructions printed on the pad; custom numbering included
Medical Arts Press® Single Copy Rx Blanks; Vertical, 5-1/2x4"
Item #: 901-16020
Blanks can be imprinted with doctor's name and feature standard refill instructions
Please specify State License and/or DEA numbers if desired
Numbering available
ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)
Item #: 901-24602228
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
Medical Arts Press Eye Care Registration Form (20571)
Item #: 901-20571
Type of form: Registration form
250 per pack
Size: 8 1/2" x 11"
Insurance Carrier Collection Labels, Primary EOB Attached, Fl Green, 7/8x1-1/2", 250 Labels
Item #: 901-39227T
Each label measures 7/8"H x 1 1/2"W
Fluorescent green, green (label)
Legend: Primary EOB Attached
Standard RX Pads, 3-Part Carbonless, 20 Books per Pack
Item #: 901-QRX16023
5-1/2" x 4" 3-Part Pads - White, Yellow, Pink
20 Books per Pack, 50 Sets per Book
Standard refill instructions printed on the pad
Medical Receipt Books; Blank
Item #: 901-MRB109NI
Keep a permanent record of patient payments in chronological order
3-parts; parts one & two are perforated, part three remains in book as permanent record
Includes insert to prevent write-through
Optical RX Pads, Single Copy, Green Paper, 10 Pads per Pack
Item #: 901-QNRX16030GR
5-1/2" x 4" Green Single Copy Pads
10 Pads per Pack, 100 Sheets per Pad
Standard refill instructions printed on the pad
Medical Arts Press® Washington Laser Prescription Forms; Non Personalized
Item #: 901-26536
Security Features Include:
VOID pantograph, thermochromic ink, state seal in lower right-hand corner, microprint signature line and a watermark in opaque ink.
SmartCompliance RetroFit Insert Grid Kit, ANSI B, 100 People, 215 Pieces (91131-021)
Item #: 901-24555986
Convert an existing First Aid cabinet to the benefits of SmartCompliance
Use the existing cabinet so no need to remove from the wall
Reduce First Aid costs by up to 50% over traditional van services
Numbered Standard RX Pads, 3-Part Carbonless, 20 Books per Pack
Item #: 901-QRX16023N
5-1/2" x 4" 3-Part Pads - White, Yellow, Pink
20 Books per Pack, 50 Sets per Book
Standard refill instructions printed on the pad
