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22 items

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Item 668844

Model CMSLC
CMS Health Insurance Forms (CMS-1500) for Laser Printers

Customer Rating

CMS Health Insurance Forms (CMS-1500) for Laser Printers

4.5stars

(26 reviews)
- Per Federal regulations, all Health Care Providers must use the CMS forms
- File a hard copy of each claim with patient records in case you need to resubmit a claim
- Compatible with laser printers
Price:

$62.29

2,500/Box
Qty.

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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)
- 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)
Price:

$64.29

2500/Pack
Qty.

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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)
- 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)
Price:

$51.54

1000/Pack
Qty.

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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)
Price:

$26.29

EACH
Qty.

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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)
Price:

$29.99

1000/Carton
Qty.

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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
Price:

$58.80

500/Pack
Qty.

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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"
Price:

$21.99

Each
Qty.

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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
Price:

$129.99

3 Set/50 Each
Qty.

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Item 728250

Model A1212
ComplyRight HIPAA Compliance Healthcare, 50/Pack

Customer Rating

ComplyRight HIPAA Compliance Healthcare, 50/Pack

0.0stars

(0 reviews)
- Includes reproducible and fillable versions of all the HIPAA compliance materials you need to educate patients and employees on how you may use and disclose protected health information
- Shows how to respond in the event of a breach
- Dimensions: CD: 5.38" W x 7.5" H; Poster: 12" W x 18" H
Price:

$169.99

50/Pack
Qty.

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Item 728208

Model A2267
ComplyRight HIPAA Compliance Essentials CD-ROM

Customer Rating

ComplyRight HIPAA Compliance Essentials CD-ROM

0.0stars

(0 reviews)
- Comply with mandatory HIPAA requirements, including recent changes made by the HITECH Act
- Ensure that patients’ privacy rights are not violated
- Includes fillable forms frequently used by the medical office
Price:

$149.99

EACH
Qty.

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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
Price:

$19.99

EACH
Qty.

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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"
Price:

$29.99

200/Pack
Qty.

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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
Price:

$19.99

EACH
Qty.

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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"
Price:

$17.99

200/Pack
Qty.

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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"
Price:

$29.99

200/Pack
Qty.

Add to Cart
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CMS Health Insurance Forms for Continuous Form Dot-Matrix Printers

Customer Rating

CMS Health Insurance Forms for Continuous Form Dot-Matrix Printers

5.0stars

(2 reviews)
- Per Federal regulations, all Health Care Providers must use the CMS forms
- File a hard copy of each claim with patient records in case you need to resubmit a claim
- Available in one or two-part
Price:

As low as

$62.29

1,000/Pack
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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
Price:

As low as

$22.99

100/Box
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Item 683689

Model UB04LC
UB-04 Hospital Claim Form for Laser Printers

Customer Rating

UB-04 Hospital Claim Form for Laser Printers

5.0stars

(1 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
- Compatible with laser printers
Price:

$62.29

2,500/Box
Qty.

Add to Cart
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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
Price:

As low as

$64.99

2,500/Box
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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
Price:

$31.49

100/Box
Qty.

Add to Cart
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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
Price:

$59.99

Each
Qty.

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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
Price:

$19.99

Each
Qty.

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22 items

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