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Page 19 of replacement superbill forms

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Best matchPrice: High-LowPrice: Low-HighSaleRating: High-Low
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ComplyRight™ Confidential Employee Records Folder, Expanded, Pack of 25 (A0175)ComplyRight™ Confidential Employee Records Folder, Expanded, Pack of 25 (A0175)
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ComplyRight™ Confidential Employee Records Folder, Expanded, Pack of 25 (A0175)
Item #: 901-2549342
(6)
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
$106.99
Per each
Add to cart
Earn 106 points
Free delivery
Custom Cash Receipt Book, 3-to-a-page, Triplicate, 150 Sets/Book
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Custom Cash Receipt Book, 3-to-a-page, Triplicate, 150 Sets/Book
Item #: 901-TCRB1113
(1)
Item #: 901-TCRB1113
Pricing details
3-Up
Triplicate
150 sets per book
$24.59
5 book
($0.16/EACH)
Save 15%
$20.99
25 book
($0.14/EACH)
Customize
Earn 122 points
Free delivery w/ $25+
ComplyRight 1-Part Confidential Employee Record Folder, 25/Pack (A0503)
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ComplyRight 1-Part Confidential Employee Record Folder, 25/Pack (A0503)
Item #: 901-2549341
(5)
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
$139.99
Per each
Add to cart
Earn 139 points
Free delivery
Custom Progress Notes, 8-1/2 x 11, 60# White Stock, 250 Sheets per PackCustom Progress Notes, 8-1/2 x 11, 60# White Stock, 250 Sheets per Pack
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Custom Progress Notes, 8-1/2" x 11", 60# White Stock, 250 Sheets per Pack
Item #: 901-QFW2058501
Item #: 901-QFW2058501
Pricing details
For use in patient charts and files
8-1/2" W x 11" L
White 60# text stock, pre-printed in black ink
$53.99
1 pack
($0.22/EACH)
Save 13%
$46.99
20+ pack
($0.19/EACH)
Customize
Earn 53 points
Free delivery
Custom Cash Receipt Book, 4-to-a-page, Triplicate, 200 Sets/Book
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Custom Cash Receipt Book, 4-to-a-page, Triplicate, 200 Sets/Book
Item #: 901-TCRB1143
Item #: 901-TCRB1143
Pricing details
4-Up
Triplicate
200 sets per book
$32.99
5 book
($0.16/EACH)
Save 9%
$29.99
25 book
($0.15/EACH)
Customize
Earn 164 points
Free delivery
Delforms® One-Write General Expense Journal Sheets; Payroll/General Expense, 1-Part
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Delforms® One-Write General Expense Journal Sheets; Payroll/General Expense, 1-Part
Item #: 901-131021
(2)
Item #: 901-131021
Pricing details
Keep track of all your payroll and general expenses in one place – in one step!
No messy carbon paper
Eliminates copy errors and saves time
$32.99
1 pack
($2.20/EACH)
Save 12%
$28.99
4+ pack
($1.93/EACH)
Add to cart
Earn 32 points
Free delivery
Custom Instruction Slips, 5-1/2 x 8-1/2, 100 Sheets per Pad
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Custom Instruction Slips, 5-1/2" x 8-1/2", 100 Sheets per Pad
Item #: 901-QFN160701R
(1)
Item #: 901-QFN160701R
Pricing details
Use for notes or messages
5-1/2" W x 8-1/2" L
White 20# text stock; printed in black ink
$16.29
5-9 pad
($0.16/EACH)
Save 41%
$9.59
40+ pad
($0.10/EACH)
Customize
Earn 81 points
Free delivery w/ $25+
Custom Cash Receipt Book, 3-to-a-page, Duplicate, 225 Sets/Book
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Custom Cash Receipt Book, 3-to-a-page, Duplicate, 225 Sets/Book
Item #: 901-TCRB1182
(9)
Item #: 901-TCRB1182
Pricing details
3-Up
Dupllicate
225 sets per book
$24.59
5 book
($0.11/EACH)
Save 15%
$20.99
25 book
($0.09/EACH)
Customize
Earn 122 points
Free delivery w/ $25+
TOPS Paper Stock File Jackets, Extra Wide Letter Size, Manila, 20/Pack (TOP 3440)TOPS Paper Stock File Jackets, Extra Wide Letter Size, Manila, 20/Pack (TOP 3440)
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TOPS Paper Stock File Jackets, Extra Wide Letter Size, Manila, 20/Pack (TOP 3440)
Item #: 901-3440Q
(1)
Item #: 901-3440Q
Made of manila paper stock
Easily fits standard 9.5" x 11.75" documents and smaller items
20 pockets per pack
$53.99
Per pack
($2.70/EACH)
Add to cart
Earn 53 points
Free delivery
Custom Progress Notes, 8-1/4 x 10-3/4, 28# Ivory Stock, 250 Sheets per PackCustom Progress Notes, 8-1/4 x 10-3/4, 28# Ivory Stock, 250 Sheets per Pack
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Custom Progress Notes, 8-1/4" x 10-3/4", 28# Ivory Stock, 250 Sheets per Pack
Item #: 901-QFW2012101
Item #: 901-QFW2012101
Pricing details
For use in patient charts and files
8-1/4" W x 10-3/4" L
Ivory 28# ledger stock, pre-printed in black ink
$12.79
1 pack
($0.05/EACH)
Save 31%
$8.79
20+ pack
($0.04/EACH)
Customize
Earn 12 points
Free delivery w/ $25+
Custom Carbonless Numbered White Receipt Books, 4-3/4 x 2-3/4, 500 Receipts per BookCustom Carbonless Numbered White Receipt Books, 4-3/4 x 2-3/4, 500 Receipts per Book
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Custom Carbonless Numbered White Receipt Books, 4-3/4" x 2-3/4", 500 Receipts per Book
Item #: 901-QFW1202001
(2)
Item #: 901-QFW1202001
Pricing details
Self-duplicating; everything is printed on original and duplicate
Book size is 11-1/2" W x 8-1/2" L; detached receipt size is 4-3/4" W x 2-3/4" L
White self-duplicating carbonless stock; pre-printed in black ink
$62.99
3 book
($0.13/EACH)
Save 14%
$53.99
48 book
($0.11/EACH)
Customize
Earn 188 points
Free delivery
Custom Cash Receipt Book, 4-to-a-page, Triplicate, 200 Sets/Book
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Custom Cash Receipt Book, 4-to-a-page, Triplicate, 200 Sets/Book
Item #: 901-TCRB1203
Item #: 901-TCRB1203
Pricing details
4-Up
Triplicate
200 sets per book
$35.99
5 book
($0.18/EACH)
Save 14%
$30.99
25 book
($0.15/EACH)
Customize
Earn 179 points
Free delivery
Custom Progress Notes, 8-1/2 x 11, 24# White Stock, 250 Sheets per Pack
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Custom Progress Notes, 8-1/2" x 11", 24# White Stock, 250 Sheets per Pack
Item #: 901-QFW2175701
Item #: 901-QFW2175701
Pricing details
For use in patient charts and files
8-1/2" W x 11" L
White 24# ledger stock, pre-printed in black ink
$31.99
1 pack
($0.13/EACH)
Save 16%
$26.99
20 pack
($0.11/EACH)
Customize
Earn 31 points
Free delivery
Rediform 3-Part Carbonless Credit Memos, 5.5L x 7.88W, 50 Sets/Book (RED7L787)Rediform 3-Part Carbonless Credit Memos, 5.5L x 7.88W, 50 Sets/Book (RED7L787)
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Rediform 3-Part Carbonless Credit Memos, 5.5"L x 7.88"W, 50 Sets/Book (RED7L787)
Item #: 901-508632
(3)
Item #: 901-508632
Credit memo book is consecutively numbered for easy organization
Credit memo book has a flexible cover
Envelopes are not included
$23.99
Per each
Add to cart
Earn 23 points
Free delivery w/ $25+
Custom Cash Receipt Book, 4-to-a-page, Duplicate, 300 Sets/Book
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Custom Cash Receipt Book, 4-to-a-page, Duplicate, 300 Sets/Book
Item #: 901-TCRB1202
Item #: 901-TCRB1202
Pricing details
4-Up
Duplicate
300 sets per book
$35.99
5 book
($0.12/EACH)
Save 14%
$30.99
25 book
($0.10/EACH)
Customize
Earn 179 points
Free delivery
Staples Laser Forms Double Window Envelopes, Wove White, 500/Box (ST473949-CC)Staples Laser Forms Double Window Envelopes, Wove White, 500/Box (ST473949-CC)
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Staples Laser Forms Double Window Envelopes, Wove White, 500/Box (ST473949-CC)
Item #: 901-473949STP
(1)
Item #: 901-473949STP
Business envelopes are suitable for many mailing projects
Made from white 24 lb. paper for durability
These envelopes measure 4 1/5"H x 9"L in size, providing enough space for your mail
$46.99
Per box
($0.09/Envelope)
Add to cart
Earn 46 points
Free 1-2 day delivery
Adams Contractors Invoice Book , 3 Part, 50 Sets/Book(TC8122)Adams Contractors Invoice Book , 3 Part, 50 Sets/Book(TC8122)
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Adams Contractor's Invoice Book , 3 Part, 50 Sets/Book (TC8122)
Item #: 901-487610
(65)
Item #: 901-487610
Carbonless Contractor Invoice form to note down work performed and additional charges
Dimensions: 0.5"H x 8.38"W x 11.44"L, 10.84" x 8.38" (detached form), 11.44" x 8.38" (sheet)
Color: White (primary page), pink (triplicate page), canary (duplicate page), blue (ink)
$12.99
Per each
Add to cart
Earn 12 points
Free delivery w/ $25+
Adams Attendance Records, 50/Pack (ABF 9493)Adams Attendance Records, 50/Pack (ABF 9493)
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Adams Attendance Records, 50/Pack (ABF 9493)
Item #: 901-9493
(23)
Item #: 901-9493
Control costs and keep track of employees' work schedules with daily attendance record
Contains 50 records per package
Perfect contrast of blue ink on white paper
$29.99
Per pack
($0.60/EACH)
Add to cart
Earn 29 points
Free delivery
Custom Instruction Slips, 4 x 5-1/2, 100 Sheets per Pad
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Custom Instruction Slips, 4" x 5-1/2", 100 Sheets per Pad
Item #: 901-QFN132171R
Item #: 901-QFN132171R
Pricing details
Use for patient care instructions
4" W x 5-1/2" L
White 20# text stock; printed in black ink
$8.59
5-9 pad
($0.09/EACH)
Save 49%
$4.39
40+ pad
($0.04/EACH)
Customize
Earn 42 points
Free delivery w/ $25+
Custom Sales Slips, Classic Design, Large Format 2 Parts, 1 Color Printing, 5 2/3 x 8 1/2, 500/Pack
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Custom Sales Slips, Classic Design, Large Format 2 Parts, 1 Color Printing, 5 2/3" x 8 1/2", 500/Pack
Item #: 901-D812
Item #: 901-D812
Pricing details
Custom printed business forms, with time-saving features & expert personalization
16 lines for writing up larger sales
Carbonless 2- or 3-part forms stay tightly aligned for clear, clean copies
$244.99
1 pack
($0.49/EACH)
Save 55%
$110.99
8 pack
($0.22/EACH)
Customize
Earn 244 points
Free delivery
Posting File, For Forms Up To 7-1/2x9-1/2
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Posting File, For Forms Up To 7-1/2x9-1/2"
Item #: 901-31134
Item #: 901-31134
Large tray features 3 tilt plates for support
Sturdy metal construction with gray baked enamel finish
Holds forms up to 7-1/2Wx9-1/2Hx6"D, up to a 6" stack of forms
$212.99
1-2 each
Save 9%
$193.99
3+ each
Add to cart
Earn 212 points
Free delivery
Rediform 2-Part Carbonless Drivers Daily Logs, 9.13L x 5.5W, 31 Sets/Book (REDS5031NCL)Rediform 2-Part Carbonless Drivers Daily Logs, 9.13L x 5.5W, 31 Sets/Book (REDS5031NCL)
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Rediform 2-Part Carbonless Driver's Daily Logs, 9.13"L x 5.5"W, 31 Sets/Book (REDS5031NCL)
Item #: 901-REDS5031NC
(5)
Item #: 901-REDS5031NC
Driver's daily log book is providing plenty of space to record driving time
Size: 9.13"L x 5.5"W
Features 2-part format that allows you to keep a permanent copy for your records
$13.99
1-10 each
Save 7%
$12.99
11+ each
Add to cart
Earn 13 points
Free delivery w/ $25+
TOPS® Application for Employment, 2-Sided, 8-1/2 x 11, 50 Sheets/Pad, 2 Pads/Box (32851)TOPS® Application for Employment, 2-Sided, 8-1/2 x 11, 50 Sheets/Pad, 2 Pads/Box (32851)
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TOPS® Application for Employment, 2-Sided, 8-1/2 x 11", 50 Sheets/Pad, 2 Pads/Box (32851)
Item #: 901-370031
(2)
Item #: 901-370031
2-hole punched
Application complies with all legal requirements
Includes employment history, references, education, personal information, physical record, check-offs for special questions and space for interviewer's remarks
$41.99
1-3 box
Save 5%
$39.99
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Custom Graph Paper, Standard 1/4 Grid, 1 Color Printing, Padded, 8 1/2 x 11, 500 Sheets /Pack
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Custom Graph Paper, Standard 1/4" Grid, 1 Color Printing, Padded, 8 1/2" x 11", 500 Sheets /Pack
Item #: 901-2051DQ
Item #: 901-2051DQ
Pricing details
Lines at top of each sheet to list project dates & details
Ruled in 1/4" gray grid
50 sheets per pad; 10 pads per pack of 500 sheets
$143.99
1 pack
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$70.99
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