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Page 9 of replacement superbill forms

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Best matchPrice: High-LowPrice: Low-HighSaleRating: High-Low
All filters 3005 items found
ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)
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ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)
Item #: 901-24602227
Item #: 901-24602227
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
$67.99
Per each
Add to cart
Earn 67 points
Free delivery
Adams Employment Applications, 50/Pad, 2 Pads/Pack (ABF 9661)Adams Employment Applications, 50/Pad, 2 Pads/Pack (ABF 9661)
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Adams Employment Applications, 50/Pad, 2 Pads/Pack (ABF 9661)
Item #: 901-9661
(97)
Item #: 901-9661
Includes the necessary information for every type of position
Contains 50 two-sided forms per pad, two pads per package
Perfect contrast of blue ink on white paper
$19.99
Per pack
($10.00/PAD)
Add to cart
Earn 19 points
Free 1-2 day delivery w/ $25+
Adams CMS-1500 1 Part Health Insurance Claims, 100/Pack (ABF CMS1500L1V)
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Adams CMS-1500 1 Part Health Insurance Claims, 100/Pack (ABF CMS1500L1V)
Item #: 901-486075
(68)
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
Add to cart
Earn 21 points
Free delivery w/ $25+
Adams 1 Part Employee Personal Files, 20/Pack (9287ABF)Adams 1 Part Employee Personal Files, 20/Pack (9287ABF)
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Adams 1 Part Employee Personal Files, 20/Pack (9287ABF)
Item #: 901-9287
(56)
Item #: 901-9287
The employee personnel file folder is complete with space for any case
Number of parts: 1
Contains 20 per pack for bulk purchasing
$17.99
Per pack
($0.90/EACH)
Add to cart
Earn 17 points
Free 1-2 day delivery w/ $25+
Medical Arts Press Treatment Notes, Tooth #, Non-Imprinted, No Punch, 250/Pack (20560NP)
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Medical Arts Press Treatment Notes, Tooth #, Non-Imprinted, No Punch, 250/Pack (20560NP)
Item #: 901-20560NP
(1)
Item #: 901-20560NP
Type of form: Treatment note
250 per pack
Size: 8 1/2" x 11"
$54.99
Per pack
($0.22/EACH)
Add to cart
Earn 54 points
Free delivery
Custom Carbonless 3-Part Forms, 8-1/2 x 11, 250 Sets per Pack
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Custom Carbonless 3-Part Forms, 8-1/2" x 11", 250 Sets per Pack
Item #: 901-QFNL3P1S1R
Item #: 901-QFNL3P1S1R
Pricing details
Design your own forms using your own artwork
8-1/2" W x 11" L
3-part, white/canary/pink, carbonless
$72.99
1 pack
($0.29/EACH)
Save 42%
$41.99
20+ pack
($0.17/EACH)
Customize
Earn 72 points
Free delivery
Custom Carbonless 3-Part Forms, 5-1/2 x 8-1/2, 250 Sets per Pack
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Custom Carbonless 3-Part Forms, 5-1/2" x 8-1/2", 250 Sets per Pack
Item #: 901-QFNM3P1S1R
(3)
Item #: 901-QFNM3P1S1R
Pricing details
Design your own forms using your own artwork
5-1/2" W x 8-1/2" L
3-part, white/canary/pink, carbonless
$53.99
1 pack
($0.22/EACH)
Save 39%
$32.99
20+ pack
($0.13/EACH)
Customize
Earn 53 points
Free delivery
Adams 3-Part Carbonless Contractor Proposal Forms, 8.5 x 11.44, 50 Sets/Book (NC3819)Adams 3-Part Carbonless Contractor Proposal Forms, 8.5 x 11.44, 50 Sets/Book (NC3819)
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Adams 3-Part Carbonless Contractor Proposal Forms, 8.5" x 11.44", 50 Sets/Book (NC3819)
Item #: 901-448251
(24)
Item #: 901-448251
Contractor's proposal forms include space for total cost and terms of payment
Form size: 11.44"L x 8.5"W
Three-part carbonless (white, canary, and pink paper sequence)
$17.99
Per each
Add to cart
Earn 17 points
Free delivery w/ $25+
Price drop
Tabbies 3-Part Patient Sign-in Label Forms, 125/Pack (14532)
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Tabbies 3-Part Patient Sign-in Label Forms, 125/Pack (14532)
Item #: 901-2678548
(4)
Item #: 901-2678548
Patient sign-in label forms to sign in your patients confidentially
Form consists of three parts: a label sheet, a carbon sheet, and a log behind it
125 sheets per package
$68.99
Per pack
($0.55/EACH)
Add to cart
Earn 68 points
Free delivery
Custom Repair Order Forms - Jewelry Repair Orders with Poly Bag, 3 Parts, 1 Color Printing, 4 3/16
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Custom Repair Order Forms - Jewelry Repair Orders with Poly Bag, 3 Parts, 1 Color Printing, 4 3/16" x 7 5/8", 200/Pack
Item #: 901-D3223
Item #: 901-D3223
Pricing details
Third part has adhesive on back for attaching poly bag - helping you stay organized
Resealable, heavy-duty clear plastic bags (5 x 8") attach to forms and keep jewelry and repair order together
Consecutive numbering: These forms come with the option to have consecutive numbering printed on them
$209.99
1 pack
($1.05/EACH)
Save 43%
$119.99
5 pack
($0.60/EACH)
Customize
Earn 209 points
Free delivery
Adams Quitclaim, Deed, Form and Instructions, 8.5 x 11, 4 Sets/Book (LF298)Adams Quitclaim, Deed, Form and Instructions, 8.5 x 11, 4 Sets/Book (LF298)
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Adams Quitclaim, Deed, Form and Instructions, 8.5" x 11", 4 Sets/Book (LF298)
Item #: 901-571321
Item #: 901-571321
The quitclaim deed form is simple to use, easy to understand; enables you to file a transfer of ownership on a property
Form size: 11"L x 8.5"W
Form duplicate: carbon; comes in white
$11.99
1-2 each
Save 17%
$9.99
3+ each
Add to cart
Earn 11 points
Free delivery w/ $25+
Custom Carbonless 2-Part Forms, 5-1/2 x 8-1/2, 250 Sets per Pack
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Custom Carbonless 2-Part Forms, 5-1/2" x 8-1/2", 250 Sets per Pack
Item #: 901-QFNM2P1S1R
(4)
Item #: 901-QFNM2P1S1R
Pricing details
Design your own forms using your own artwork
5-1/2" W x 8-1/2" L
2-part, white/canary, carbonless
$49.99
1 pack
($0.20/EACH)
Save 48%
$25.99
20+ pack
($0.10/EACH)
Customize
Earn 49 points
Free delivery
Medical Arts Press Eye Care Registration Form (20571)Medical Arts Press Eye Care Registration Form (20571)
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Medical Arts Press Eye Care Registration Form (20571)
Item #: 901-20571
Item #: 901-20571
Type of form: Registration form
250 per pack
Size: 8 1/2" x 11"
$66.99
Per pack
($0.27/EACH)
Add to cart
Earn 66 points
Free delivery
Medical Arts Press Registration Form; Smile TeamMedical Arts Press Registration Form; Smile Team
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Medical Arts Press Registration Form; Smile Team
Item #: 901-21784
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
$72.99
1 pack
($0.29/EACH)
Save 7%
$67.99
2+ pack
($0.27/EACH)
Add to cart
Earn 72 points
Free delivery
Adams Living Will & Health Care POA Forms and Instructions Kit, 11.69 x 8.88 (ABF K306)Adams Living Will & Health Care POA Forms and Instructions Kit, 11.69 x 8.88 (ABF K306)
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Adams Living Will & Health Care POA Forms and Instructions Kit, 11.69" x 8.88" (ABF K306)
Item #: 901-572455
(20)
Item #: 901-572455
These forms are simple to use, easy to understand, and a great way to express your choice of when to discontinue treatment and life support
White primary page coloring with black ink on the form
Contains forms and instructions with carbon duplicate and their digital copies on a CD
$23.99
1-2 each
Save 8%
$21.99
3+ each
Add to cart
Earn 23 points
Free delivery w/ $25+
ComplyRight Notice of Privacy Practice, 100/Pack (A1349)
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ComplyRight Notice of Privacy Practice, 100/Pack (A1349)
Item #: 901-398024
Item #: 901-398024
Describes how medical information about patients may be used and disclosed
Includes a Tip Sheet in each package that explains the purpose of the form, relevant laws, definitions and do's and don'ts
Size: 8 1/2" x 11"
$35.39
Per pack
Add to cart
Earn 35 points
Free delivery
Adams Last Will & Testament, Forms & Instructions (LF235/ALFP117)Adams Last Will & Testament, Forms & Instructions (LF235/ALFP117)
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Adams Last Will & Testament, Forms & Instructions (LF235/ALFP117)
Item #: 901-571355
(42)
Item #: 901-571355
Last Will & Testament details your assets and the beneficiaries who will receive them
Form size: 11"L x 8.5"W
Comes in white
$11.99
Per each
Add to cart
Earn 11 points
Free delivery w/ $25+
Custom Multi-Purpose Register Form, Classic Design, Small Format, 3 Parts, 1 Color Printing, 4 x 6, 500/PackCustom Multi-Purpose Register Form, Classic Design, Small Format, 3 Parts, 1 Color Printing, 4 x 6, 500/Pack
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Custom Multi-Purpose Register Form, Classic Design, Small Format, 3 Parts, 1 Color Printing, 4" x 6", 500/Pack
Item #: 901-D6093
(1)
Item #: 901-D6093
Pricing details
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Compatible with 4 x 6" portable registers
7 lines enable most orders to fit on a single form
$169.99
1 pack
($0.34/EACH)
Save 54%
$78.99
20 pack
($0.16/EACH)
Customize
Earn 169 points
Free delivery
TOPS™ Carbonless Statement Book, 2-Part, 50 Forms/Book, 3 Pads/Pack (DC5812-3)TOPS™ Carbonless Statement Book, 2-Part, 50 Forms/Book, 3 Pads/Pack (DC5812-3)
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TOPS™ Carbonless Statement Book, 2-Part, 50 Forms/Book, 3 Pads/Pack (DC5812-3)
Item #: 901-448957
(36)
Item #: 901-448957
Carbonless Statement book is a great, low-cost way to keep your customer accounts current
Dimensions: 1.2"H x 5.56"W x 8.44"L, 7.94" x 5.56" (detached form), 8.44" x 5.56" (sheet)
Color: White (primary page), canary (duplicate page), blue (ink)
$25.99
Per each
Add to cart
Earn 25 points
Free delivery
Adams Durable Power of Attorney Legal Form Kit 11L x 8.5W Each (ABF LF205)Adams Durable Power of Attorney Legal Form Kit 11L x 8.5W Each (ABF LF205)
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Adams Durable Power of Attorney Legal Form Kit 11"L x 8.5"W Each (ABF LF205)
Item #: 901-571453
(60)
Item #: 901-571453
Durable Power of Attorney appoints someone to handle your finances if you are absent or incapacitated
White primary page coloring with black ink on the form
One kit contains four sheets
$14.99
Per each
Add to cart
Earn 14 points
Free delivery w/ $25+
Medical Arts Press Registration Forms Featuring Updates Section/Two Clear ToothbrushesMedical Arts Press Registration Forms Featuring Updates Section/Two Clear Toothbrushes
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Medical Arts Press Registration Forms Featuring Updates Section/Two Clear Toothbrushes
Item #: 901-35064
(1)
Item #: 901-35064
Thorough questions help patients provide complete information on background, insurance, phone numbers, dental and health history, medications, and allergies
Improved forms increase practice efficiency
Captures adolescent patient information: minor check box; school name, address, phone; dependent insurance coverage
$78.99
Per pack
($0.32/EACH)
Add to cart
Earn 78 points
Free delivery
Custom Multi-Purpose Register Form, Classic Design, Small Format, 2 Parts, 1 Color Printing, 4 x 6, 500/Pack
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Custom Multi-Purpose Register Form, Classic Design, Small Format, 2 Parts, 1 Color Printing, 4" x 6", 500/Pack
Item #: 901-D6092
(1)
Item #: 901-D6092
Pricing details
Use with your portable register to capture details on the spot - no hunting for a handy place to write
Compatible with 4 x 6" portable registers
7 lines enable most orders to fit on a single form
$139.99
1 pack
($0.28/EACH)
Save 51%
$67.99
12 pack
($0.14/EACH)
Customize
Earn 139 points
Free delivery
Custom 2-Part Snapset CMS Forms, 8-1/2 x 11, 500 Sets per Pack
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Custom 2-Part Snapset CMS Forms, 8-1/2" x 11", 500 Sets per Pack
Item #: 901-QFW1471701
(3)
Item #: 901-QFW1471701
Pricing details
Snapset form for use by all medical facilities for billing insurance companies, Medicaid and Medicare; aligned with the electronic HIPAA ASC X12N 837 Non-institutional Transaction Standard
8-1/2" W x 11" L
2-part, white/canary, carbonless
$296.99
1 pack
($0.59/EACH)
Save 28%
$214.99
8+ pack
($0.43/EACH)
Customize
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Medical Arts Press Chiropractic Registration and History Forms, Holistic CareMedical Arts Press Chiropractic Registration and History Forms, Holistic Care
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Medical Arts Press Chiropractic Registration and History Forms, Holistic Care
Item #: 901-15165
(1)
Item #: 901-15165
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, severity
Also includes areas for onset, effect on daily activities, and conditions
$85.99
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($0.34/EACH)
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