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1 - 24 of 28 items
  • Cms-1500 (02/12) Laser Cut 2500 Pack
    Item 125557
    Model CMS12LC

    Cms-1500 (02/12) Laser Cut 2500 Pack

    Customer Rating
    Cms-1500 (02/12) Laser Cut 2500 Pack
    0.0stars
    (0  reviews)
    • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
    • 2,500 per case
    • Form is "8.5x11"
    USD
    Price:
    $68.99
    Each
    Currently Out of Stock.
  • Cms-1500 (02/12) Laser Cut 250 Pack
    Item 125555
    Model CMS12LC250

    Cms-1500 (02/12) Laser Cut 250 Pack

    Customer Rating
    Cms-1500 (02/12) Laser Cut 250 Pack
    4.0stars
    (1  reviews)
    • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
    • 250 per case
    • Form is "8.5x11"
    USD
    Price:
    $34.49
    Each
    Currently Out of Stock.
  • Cms-1500 (02/12) Laser Cut 500 Pack
    Item 125556
    Model CMS12LC500

    Cms-1500 (02/12) Laser Cut 500 Pack

    Customer Rating
    Cms-1500 (02/12) Laser Cut 500 Pack
    0.0stars
    (0  reviews)
    • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
    • 500 per case
    • Form is "8.5x11"
    USD
    Price:
    $45.99
    Each
    Currently Out of Stock.
  • CMS Health Insurance Envelopes

    CMS Health Insurance Envelopes

    Customer Rating
    CMS Health Insurance Envelopes
    4.5stars
    (2  reviews)
    • All envelopes have security lining
    • Available in (9-1/2" x 4-1/2") & (9" x 12-1/2")
    • Compatible with Dot-Matrix and Laser printers
    USD
    Price:
    As low as
    $29.99
    100/Box

  • Cms-1500 (02/12) 2-Part Continuous W/C
    Item 125554
    Model CMS122

    Cms-1500 (02/12) 2-Part Continuous W/C

    Customer Rating
    Cms-1500 (02/12) 2-Part Continuous W/C
    0.0stars
    (0  reviews)
    • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
    • 1,000 per case
    • Form is "8.5x11"
    USD
    Price:
    $64.39
    Each
    Currently Out of Stock.
  • Cms-1500 (02/12) 1-Part Continuous W
    Item 125542
    Model CMS121

    Cms-1500 (02/12) 1-Part Continuous W

    Customer Rating
    Cms-1500 (02/12) 1-Part Continuous W
    0.0stars
    (0  reviews)
    • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
    • 2,500 per case
    • Form is "8.5x11"
    USD
    Price:
    $60.99
    Each
    Currently Out of Stock.
  • Cms-1500 (02/12) 2-Part Continuous W/W
    Item 125553
    Model CMS12W2

    Cms-1500 (02/12) 2-Part Continuous W/W

    Customer Rating
    Cms-1500 (02/12) 2-Part Continuous W/W
    0.0stars
    (0  reviews)
    • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
    • 1,000 per case
    • Form is "8.5x11"
    USD
    Price:
    $64.39
    Each
    Currently Out of Stock.
  • Confidential Employee Medical Records Folder
    Item 203200
    Model A0606

    Confidential Employee Medical Records Folder

    Customer Rating
    Confidential Employee Medical Records Folder
    0.0stars
    (0  reviews)
    • Store salary information, performance warnings, appraisals and more; virtually any data or paperwork that must remain confidential.
    • Important information such as pension plans, 401K, credit union and other benefits can be noted right on the front of the folder.
    • Inside there's space to record performance appraisals, warnings, and salary history.
    USD
    Price:
    $65.49
    Each
    Currently Out of Stock.
  • UB-92/UB-04 Hospital Claim Envelopes, 9in. x 12-1/2in.
    Item 519753
    Model 1492LL

    UB-92/UB-04 Hospital Claim Envelopes, 9" x 12-1/2"

    Customer Rating
    UB-92/UB-04 Hospital Claim Envelopes, 9" x 12-1/2"
    0.0stars
    (0  reviews)
    • UB-92 matching jumbo envelopes
    • 9" x 12-1/2"
    • Compatible with Laser and Dot-Matrix printers
    USD
    Price:
    $40.49
    100/Box
    Currently Out of Stock.
  • ComplyRight HIPAA Notice of Privacy Practices  Poster
    Item 728245
    Model A2103

    ComplyRight HIPAA Notice of Privacy Practices Poster

    Customer Rating
    ComplyRight HIPAA Notice of Privacy Practices Poster
    0.0stars
    (0  reviews)
    • Communicates mandatory HIPAA rules to patients
    • Laminated
    • Dimesions: 12" W x 18" H
    USD
    Price:
    $23.99
    EACH
    Currently Out of Stock.
  • ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice
    Item 398026
    Model A1354

    ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice

    Customer Rating
    ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice
    0.0stars
    (0  reviews)
    • Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
    • HIPAA compliant
    • Size: 8 1/2" x 11"
    USD
    Price:
    $35.99
    200/Pack
    Currently Out of Stock.
  • ComplyRight Notice of Privacy Practice
    Item 398024
    Model A1349

    ComplyRight Notice of Privacy Practice

    Customer Rating
    ComplyRight Notice of Privacy Practice
    0.0stars
    (0  reviews)
    • 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 dos and donts
    • Size: 8 1/2" x 11"
    USD
    Price:
    $21.49
    200/Pack
    Currently Out of Stock.
  • ComplyRight ADA Self-Seal  Envelope
    Item 728692
    Model 2003ES

    ComplyRight ADA Self-Seal Envelope

    Customer Rating
    ComplyRight ADA Self-Seal Envelope
    0.0stars
    (0  reviews)
    • Envelopes come with security tint to meet HIPAA guidelines
    • Self-Seal Envelope you can use it for 2002, 2004, & 2006 Versions
    • Dimensions: 9.5" W x 4.125" H
    USD
    Price:
    $70.99
    500/Pack
    Currently Out of Stock.
  • ComplyRight HIPAA Protecting Patient Privacy  Poster
    Item 728247
    Model A2105

    ComplyRight HIPAA Protecting Patient Privacy Poster

    Customer Rating
    ComplyRight HIPAA Protecting Patient Privacy Poster
    0.0stars
    (0  reviews)
    • Communicates mandatory HIPAA rules to healthcare employees
    • Laminated
    • Dimensions: 12" W x 18" H
    USD
    Price:
    $23.99
    EACH
    Currently Out of Stock.
  • ComplyRight HIPAA Patient Consent and Authorization Form
    Item 398021
    Model A1350

    ComplyRight HIPAA Patient Consent and Authorization Form

    Customer Rating
    ComplyRight HIPAA Patient Consent and Authorization Form
    0.0stars
    (0  reviews)
    • Attorney approved form acknowledging patient's consent to release his or her protected health information to an authorized third party
    • Complies with HIPAA’s authorization requirements
    • Size: 8 1/2" x 11"
    USD
    Price:
    $35.99
    200/Pack
    Currently Out of Stock.
  • ComplyRight HIPAA Employee Information Poster
    Item 203203
    Model AR0953

    ComplyRight HIPAA Employee Information Poster

    Customer Rating
    ComplyRight HIPAA Employee Information Poster
    0.0stars
    (0  reviews)
    • Educate employees on how and when patient's medical information may be used and disclosed and what to do if a breach occurs
    • Poster Size: 12" x 18"
    • Laminated for durability
    USD
    Price:
    $25.49
    Each
    Currently Out of Stock.
  • ADA Dental Claim Form Laser Cut
    Item 203204
    Model 1200

    ADA Dental Claim Form Laser Cut

    Customer Rating
    ADA Dental Claim Form Laser Cut
    0.0stars
    (0  reviews)
    • 100% Compliant to meet ADA guidelines
    • Laser-Cut Sheet
    • 2500 per case
    USD
    Price:
    $68.99
    Each
    Currently Out of Stock.
  • UB-04 Hospital Claim Form for Dot-Matrix Printers

    UB-04 Hospital Claim Form for Dot-Matrix Printers

    Customer Rating
    UB-04 Hospital Claim Form for Dot-Matrix Printers
    0.0stars
    (0  reviews)
    • Easily file a medical claim with a patient's insurance carrier
    • File a hard copy of each claim with patient records in case you need to resubmit a claim
    • Available in one, two, three and four-part forms
    USD
    Price:
    As low as
    $81.69
    1,000/Box

  • ComplyRight ADA  Dental Claim Form, 1-Part Continuous, 2500 Box
    Item 728369
    Model 2601

    ComplyRight ADA Dental Claim Form, 1-Part Continuous, 2500 Box

    Customer Rating
    ComplyRight ADA Dental Claim Form, 1-Part Continuous, 2500 Box
    0.0stars
    (0  reviews)
    • 100% compliant to ensure strict adherence to size, type font and layout requirements
    • Accommodates reporting of National Provider Identifier (NPI)
    • Designed for processing on high speed OCR scanning equipment
    USD
    Price:
    $73.99
    2500/Pack
    Currently Out of Stock.
  • ComplyRight ADA ADA Dental Claim Form, 2-Part Continuous, 1000 Box
    Item 728286
    Model 2602

    ComplyRight ADA ADA Dental Claim Form, 2-Part Continuous, 1000 Box

    Customer Rating
    ComplyRight ADA ADA Dental Claim Form, 2-Part Continuous, 1000 Box
    0.0stars
    (0  reviews)
    • 100% compliant to meet ADA guidelines
    • Accommodates reporting of National Provider Identifier (NPI)
    • Designed for processing on high speed OCR scanning equipment
    USD
    Price:
    $59.29
    1000/Pack
    Currently Out of Stock.
  • ComplyRight ADA Dental Claim Form, 1-Part Continuous, 1000/Pack
    Item 728273
    Model 26011

    ComplyRight ADA Dental Claim Form, 1-Part Continuous, 1000/Pack

    Customer Rating
    ComplyRight ADA Dental Claim Form, 1-Part Continuous, 1000/Pack
    0.0stars
    (0  reviews)
    • All claim forms officially licensed by the American Dental Association and supported by most popular dental software packages
    • 100% compliant to meet ADA guidelines
    • Accommodates reporting of National Provider Identifier (NPI)
    USD
    Price:
    $32.99
    EACH
    Currently Out of Stock.
  • ComplyRight ADA Dental Claim Form, Laser-Cut Sheet, 1000/Cartoon
    Item 728276
    Model 12001

    ComplyRight ADA Dental Claim Form, Laser-Cut Sheet, 1000/Cartoon

    Customer Rating
    ComplyRight ADA Dental Claim Form, Laser-Cut Sheet, 1000/Cartoon
    0.0stars
    (0  reviews)
    • All claim forms officially licensed by the American Dental Association and supported by most popular dental software packages
    • 100% compliant to meet ADA guidelines
    • Accommodates reporting of National Provider Identifier (NPI)
    USD
    Price:
    $34.49
    1000/Carton
    Currently Out of Stock.
  • ComplyRight CMS1500 Self Audit Template
    Item 398017
    Model CMS1500SAT

    ComplyRight CMS1500 Self Audit Template

    Customer Rating
    ComplyRight CMS1500 Self Audit Template
    0.0stars
    (0  reviews)
    • Lay template over CMS form to help alleviate confusion and errors, and helps increase reimbursements
    • Assists with reporting of the National Provider Identifier, which must be used by all HIPAA-covered entities, including health plans, healthcare clearinghouses and healthcare providers
    • Size : 8-1/2" x 11"
    USD
    Price:
    $26.49
    Each
    Currently Out of Stock.
  • ComplyRight HIPAA Administration  System
    Item 728241
    Model A2107

    ComplyRight HIPAA Administration System

    Customer Rating
    ComplyRight HIPAA Administration System
    0.0stars
    (0  reviews)
    • Notice of Privacy Practices
    • Patient Consent and Authorization for Release of PHI
    • Patient Acknowledgement of Receipt of Privacy Practices Notice
    USD
    Price:
    $149.49
    3 Set/50 Each
    Currently Out of Stock.
1 - 24 of 28 items
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