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Page 3 of medical forms

(81 items found)
All filters 81 items found
Medical Arts Press® Financial Agreement and Insurance Assignment; 4x5-1/2 Bond Non-Personalized
Medical Arts Press® Financial Agreement and Insurance Assignment; 4x5-1/2" Bond Non-Personalized
Item #: 901-33404
100 sheets per pad
Pad size: 4 x 5-1/2 inches
$8.29
5+ pad
TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
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
$126.89
Per carton
($0.05/EACH)
Adams CMS-1500 1 Part Health Insurance Claims, 100/Pack (ABF CMS1500L1V)
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
$21.99
Per pack
ComplyRight Confidential Personnel Envelo-File, Legal Size, 25/Pack (A0731)ComplyRight Confidential Personnel Envelo-File, Legal Size, 25/Pack (A0731)
ComplyRight Confidential Personnel Envelo-File, Legal Size, 25/Pack (A0731)
Item #: 901-2549007
Protects legally sensitive documents
Outside grid lets you record general employee information and benefits data directly on the folder
Attorney developed and approved to ensure 100% compliance
$167.99
1-3 pack
Save 9%
$152.99
4+ pack
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2 x 11, Pack of 500 (CMS12LC500)ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2 x 11, Pack of 500 (CMS12LC500)
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
$50.99
Per pack
($0.10/EACH)
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
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
$123.99
Per pack
($0.05/EACH)
Custom Copy Statements, 5-1/2 x 6-3/4, 500 per PackCustom Copy Statements, 5-1/2 x 6-3/4, 500 per Pack
Custom Copy Statements, 5-1/2" x 6-3/4", 500 per Pack
Item #: 901-QFN1005X1R
Use to provide costs and charges to patients
5-1/2" W x 6-3/4" L - Flat
White 80# cover stock, printed in black ink
$72.99
1 pack
($0.15/EACH)
Save 42%
$41.99
20+ pack
($0.08/EACH)
Medical Arts Press Treatment Notes, Tooth #, Non-Imprinted, No Punch, 250/Pack (20560NP)
Medical Arts Press Treatment Notes, Tooth #, Non-Imprinted, No Punch, 250/Pack (20560NP)
Item #: 901-20560NP
Type of form: Treatment note
250 per pack
Size: 8 1/2" x 11"
$60.49
Per pack
($0.24/EACH)
ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211)ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211)
ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211)
Item #: 901-2548999
Lets you record basic information on the outside, confidential data on the inside
Comes in distinctive blue color to distinguish medical records from other personnel file
Attorney developed and approved to ensure 100% compliance
$99.69
Per each
ComplyRight™ Expanded Confidential Employee Medical Records Folder, Pack of 25 (A3325)ComplyRight™ Expanded Confidential Employee Medical Records Folder, Pack of 25 (A3325)
ComplyRight™ Expanded Confidential Employee Medical Records Folder, Pack of 25 (A3325)
Item #: 901-2549001
Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance with ADA, FMLA, OSHA and HIPAA recordkeeping requirements
Folder is a disctinctive blue color to easily distinguish medical records from other personnel folders
$126.09
Per each
ComplyRight 2026 Attendance Calendar File Folder, 25 Forms/Pack (A3050)ComplyRight 2026 Attendance Calendar File Folder, 25 Forms/Pack (A3050)
ComplyRight 2026 Attendance Calendar File Folder, 25 Forms/Pack (A3050)
Item #: 901-2549040
Folder provides a calendar on front for quick and easy attendance tracking
Two pockets inside of folder for storing paper records
Attorney-approved to ensure 100% compliance
$75.59
Per each
Custom Carbonless 2-Part Equine Superbills, 8-1/2 x 11, 250 Sets per Pack
Custom Carbonless 2-Part Equine Superbills, 8-1/2" x 11", 250 Sets per Pack
Item #: 901-QFN103481R
Use to provide costs and services to patients
8-1/2" W x 11" L
2-part, white/canary, carbonless; printed in black ink
$140.99
1 pack
($0.56/EACH)
Save 36%
$89.99
20+ pack
($0.36/EACH)
ComplyRight 1-Part Confidential Employee Record Folder, 25/Pack (A0503)
ComplyRight 1-Part Confidential Employee Record Folder, 25/Pack (A0503)
Item #: 901-2549341
Comprehensive employee record folder helps to ensure the safety of private employee data
Number of parts: 1
Contains 25 files per package
$119.99
Per each
ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500)ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500)
ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500)
Item #: 901-24581404
This CMS-1500 jumbo health care billing envelope helps reduce processing delays
500 envelopes per box
Form size: 9" x 12.5"
$154.99
Per each
ComplyRight™ Confidential Employee Records Folder, Expanded, Pack of 25 (A0175)ComplyRight™ Confidential Employee Records Folder, Expanded, Pack of 25 (A0175)
ComplyRight™ Confidential Employee Records Folder, Expanded, Pack of 25 (A0175)
Item #: 901-2549342
Made in the U.S.A of thick, long-lasting manila card stock
Developed by employment attorneys for 100% compliance
Ample space to store and keep employee hiring and employment records confidential
$130.39
Per each
ComplyRight™ Confidential Employee Payroll Records Folder, Pack of 25 (A2317)ComplyRight™ Confidential Employee Payroll Records Folder, Pack of 25 (A2317)
ComplyRight™ Confidential Employee Payroll Records Folder, Pack of 25 (A2317)
Item #: 901-2548998
Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Extended tab on folder helps easily locate employees from file cabinets
$126.99
Per each
PMIC Collections Made Easy! [3E] (Me149)
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.
$35.99
Per each
ComplyRight Employee Benefits & Insurance Records Organizer, Pack of 25 (A0309)ComplyRight Employee Benefits & Insurance Records Organizer, Pack of 25 (A0309)
ComplyRight Employee Benefits & Insurance Records Organizer, Pack of 25 (A0309)
Item #: 901-2549009
Package of 25 folders
Size: 11.75" x 9.5"
Capture important personnel information right on the folder
$95.39
Per each
ComplyRight™ Employee Hiring & Employment History Folder, Pack of 25 (A3310)ComplyRight™ Employee Hiring & Employment History Folder, Pack of 25 (A3310)
ComplyRight™ Employee Hiring & Employment History Folder, Pack of 25 (A3310)
Item #: 901-2548997
Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Ample space to store and keep employee hiring and employment records confidential
$108.19
Per each
ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
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
ComplyRight Employee Attendance Records Organizer, Pack of 25 (A0308)ComplyRight Employee Attendance Records Organizer, Pack of 25 (A0308)
ComplyRight Employee Attendance Records Organizer, Pack of 25 (A0308)
Item #: 901-2549006
Space for confidential information is concealed on the inside of the folder
Attorney developed and approved to ensure 100% compliance
Package of 25 folders
$78.49
Per each
ComplyRight™ Employee Safety and Training Records Folder, Pack of 25 (A2210)ComplyRight™ Employee Safety and Training Records Folder, Pack of 25 (A2210)
ComplyRight™ Employee Safety and Training Records Folder, Pack of 25 (A2210)
Item #: 901-2549000
Made in the U.S.A of thick, long-lasting manila card stock
Developed by employment attorneys for 100% compliance
Extended tab on folder and distinct yellow color helps easily locate employees from file cabinets
$102.59
Per each
ComplyRight Concealed Cover Confidential Employee Record Folder, Pack of 25 (A0653)ComplyRight Concealed Cover Confidential Employee Record Folder, Pack of 25 (A0653)
ComplyRight Concealed Cover Confidential Employee Record Folder, Pack of 25 (A0653)
Item #: 901-2549003
Two spacious pockets provide additional storage room for documents
Specific information can be recorded right on the pockets
Attorney developed and approved to ensure 100% compliance
$124.99
Per each
ComplyRight Employee Payroll & Tax Records Organizer, Pack of 25 (A0311)ComplyRight Employee Payroll & Tax Records Organizer, Pack of 25 (A0311)
ComplyRight Employee Payroll & Tax Records Organizer, Pack of 25 (A0311)
Item #: 901-2549005
Package of 25 folders
Size: 11.75" x 9.5"
Capture important personnel information right on the folder
$93.29
Per each
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