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ComplyRight Health Care Forms
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13 items
Item 668844
Model CMSLC
Quick View
CMS Health Insurance Forms (CMS-1500) for Laser Printers
Customer Rating
CMS Health Insurance Forms (CMS-1500) for Laser Printers
5.0stars
( 24 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.
Add to Cart
Add to Favorites
Item 668812
Model CMS1
Quick View
CMS Health Insurance Forms (CMS-1500), 1-Part Pin-Feed w/ NPI
Customer Rating
CMS Health Insurance Forms (CMS-1500), 1-Part Pin-Feed w/ NPI
4.5stars
( 3 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
One part, white
Price:
$62.29
2,500/Pack
Qty.
Add to Cart
Add to Favorites
Item 668816
Model CMS2
Quick View
CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Yellow
Customer Rating
CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Yellow
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
Two-part, white/yellow
Price:
$62.29
1,000/Pack
Qty.
Add to Cart
Add to Favorites
Item 668827
Model CMSW2
Quick View
CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/White
Customer Rating
CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/White
4.0stars
( 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
Two-part, white/white
Price:
$62.29
1,000/Pack
Qty.
Add to Cart
Add to Favorites
Item 399692
Model 1500LR
Quick View
9" X 12-1/2" Envelopes, 1500LR
Customer Rating
9" X 12-1/2" Envelopes, 1500LR
0.0stars
( 0 reviews)
9" x 12-1/2"
Self sealing
All envelopes have security lining
Price:
$22.99
100/Box
Qty.
Add to Cart
Add to Favorites
Item 405625
Model 1500E
Quick View
9-1/2" X 4-1/2" Envelopes, 1500-E
Customer Rating
9-1/2" X 4-1/2" Envelopes, 1500-E
4.5stars
( 2 reviews)
All envelopes have security lining
9-1/2" x 4-1/2"
Compatible with Dot-Matrix and Laser printers
Price:
$39.99
500/Box
Qty.
Add to Cart
Add to Favorites
Item 423046
Model 1500ES
Quick View
9-1/2" X 4-1/2", Self-Sealing Envelopes, 1500ES
Customer Rating
9-1/2" X 4-1/2", Self-Sealing Envelopes, 1500ES
0.0stars
( 0 reviews)
All envelopes have security lining
9-1/2" x 4-1/2", (Self-Sealing)
Compatible with Dot-Matrix and Laser printers
Price:
$46.49
500/Box
Qty.
Add to Cart
Add to Favorites
Item 683689
Model UB04LC
Quick View
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
Add to Favorites
Item 683688
Model UB041
Quick View
UB-04 Hospital Claim Form for Dot-Matrix Printers, 1-Part
Customer Rating
UB-04 Hospital Claim Form for Dot-Matrix Printers, 1-Part
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
1-Part forms
Price:
$64.99
2,500/Box
Qty.
Add to Cart
Add to Favorites
Item 683687
Model UB042
Quick View
UB-04 Hospital Claim Form for Dot-Matrix Printers, 2-Part
Customer Rating
UB-04 Hospital Claim Form for Dot-Matrix Printers, 2-Part
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
2-Part forms
Price:
$70.99
1,000/Box
Qty.
Add to Cart
Add to Favorites
Item 683686
Model UB043
Quick View
UB-04 Hospital Claim Form for Dot-Matrix Printers, 3-Part
Customer Rating
UB-04 Hospital Claim Form for Dot-Matrix Printers, 3-Part
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
3-Part forms
Price:
$115.99
1,000/Box
Qty.
Add to Cart
Add to Favorites
Item 683685
Model UB044
Quick View
UB-04 Hospital Claim Form for Dot-Matrix Printers, 4-Part
Customer Rating
UB-04 Hospital Claim Form for Dot-Matrix Printers, 4-Part
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
4-Part forms
Price:
$76.99
500/Box
Qty.
Add to Cart
Add to Favorites
Item 519753
Model 1492LL
Quick View
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:
$31.49
100/Box
Qty.
Add to Cart
Add to Favorites
13 items
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Before continuing, please select an item
Per Federal regulations, all Health Care Providers must use the CMS forms
File a hard copy of each claim with patient records in case you need to resubmit a claim
Compatible with laser printers
2,500/Box
for Laser Printers
Per Federal regulations, all Health Care Providers must use the CMS forms
File a hard copy of each claim with patient records in case you need to resubmit a claim
Compatible with laser printers
CMS Health Insurance Forms (CMS-1500) for Laser Printers
http://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$thb$
/CMS-Health-Insurance-Forms-CMS-1500-for-Laser-Printers/product_668844
CMS Health Insurance Forms (CMS-1500) for Laser Printers
5.0
24
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
One part, white
2,500/Pack
1-Part w/NPI
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
One part, white
CMS Health Insurance Forms (CMS-1500), 1-Part Pin-Feed w/ NPI
http://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$thb$
/CMS-Health-Insurance-Forms-CMS-1500-1-Part-Pin-Feed-w-NPI/product_668812
CMS Health Insurance Forms (CMS-1500), 1-Part Pin-Feed w/ NPI
4.5
3
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
Two-part, white/yellow
1,000/Pack
2-Part w/NPI, white/yellow
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
Two-part, white/yellow
CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Yellow
http://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$thb$
/CMS-Health-Insurance-Forms-CMS-1500-2-Part-w-NPI-White-Yellow/product_668816
CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/Yellow
5.0
2
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
Two-part, white/white
1,000/Pack
2-Part w/NPI, white/white
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
Two-part, white/white
Intuit® QuickBooks Pro & Payroll 2013, English
http://s7d5.scene7.com/is/image/Staples/s0194309_sc7?$thb$
/CMS-Health-Insurance-Forms-CMS-1500-2-Part-w-NPI-White-White/product_668827
CMS Health Insurance Forms (CMS-1500), 2-Part w/ NPI, White/White
4.0
2
9" x 12-1/2"
Self sealing
All envelopes have security lining
100/Box
9" x 12-1/2"
Self sealing
All envelopes have security lining
9" X 12-1/2" Envelopes, 1500LR
http://s7d5.scene7.com/is/image/Staples/s0046884_sc7?$thb$
/9-inch-X-12-1-2-inch-Envelopes-1500LR/product_399692
9" X 12-1/2" Envelopes, 1500LR
0.0
0
All envelopes have security lining
9-1/2" x 4-1/2"
Compatible with Dot-Matrix and Laser printers
500/Box
All envelopes have security lining
9-1/2" x 4-1/2"
Compatible with Dot-Matrix and Laser printers
9-1/2" X 4-1/2" Envelopes, 1500-E
http://s7d5.scene7.com/is/image/Staples/s0046883_sc7?$thb$
/9-1-2-inch-X-4-1-2-inch-Envelopes-1500-E/product_405625
9-1/2" X 4-1/2" Envelopes, 1500-E
4.5
2
All envelopes have security lining
9-1/2" x 4-1/2", (Self-Sealing)
Compatible with Dot-Matrix and Laser printers
500/Box
All envelopes have security lining
9-1/2" x 4-1/2", (Self-Sealing)
Compatible with Dot-Matrix and Laser printers
9-1/2" X 4-1/2", Self-Sealing Envelopes, 1500ES
http://s7d5.scene7.com/is/image/Staples/s0046883_sc7?$thb$
/9-1-2-inch-X-4-1-2-inch-Self-Sealing-Envelopes/product_423046
9-1/2" X 4-1/2", Self-Sealing Envelopes, 1500ES
0.0
0
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
2,500/Box
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
UB-04 Hospital Claim Form for Laser Printers
http://s7d5.scene7.com/is/image/Staples/s0200843_sc7?$thb$
/UB-04-Hospital-Claim-Form-for-Laser-Printers/product_683689
UB-04 Hospital Claim Form for Laser Printers
5.0
1
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
1-Part forms
2,500/Box
1-Part
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
1-Part forms
UB-04 Hospital Claim Form for Dot-Matrix Printers, 1-Part
http://s7d5.scene7.com/is/image/Staples/s0200809_sc7?$thb$
/UB-04-Hospital-Claim-Form-for-Dot-Matrix-Printers-1-Part/product_683688
UB-04 Hospital Claim Form for Dot-Matrix Printers, 1-Part
0.0
0
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
2-Part forms
1,000/Box
2-Part
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
2-Part forms
UB-04 Hospital Claim Form for Dot-Matrix Printers, 2-Part
http://s7d5.scene7.com/is/image/Staples/s0200809_sc7?$thb$
/UB-04-Hospital-Claim-Form-for-Dot-Matrix-Printers-2-Part/product_683687
UB-04 Hospital Claim Form for Dot-Matrix Printers, 2-Part
0.0
0
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
3-Part forms
1,000/Box
3-part
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
3-Part forms
UB-04 Hospital Claim Form for Dot-Matrix Printers, 3-Part
http://s7d5.scene7.com/is/image/Staples/s0200809_sc7?$thb$
/UB-04-Hospital-Claim-Form-for-Dot-Matrix-Printers-3-Part/product_683686
UB-04 Hospital Claim Form for Dot-Matrix Printers, 3-Part
0.0
0
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
4-Part forms
500/Box
4-Part
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
4-Part forms
UB-04 Hospital Claim Form for Dot-Matrix Printers, 4-Part
http://s7d5.scene7.com/is/image/Staples/s0200809_sc7?$thb$
/UB-04-Hospital-Claim-Form-for-Dot-Matrix-Printers-4-Part/product_683685
UB-04 Hospital Claim Form for Dot-Matrix Printers, 4-Part
0.0
0
UB-92 matching jumbo envelopes
9" x 12-1/2"
Compatible with Laser and Dot-Matrix printers
100/Box
UB-92 matching jumbo envelopes
9" x 12-1/2"
Compatible with Laser and Dot-Matrix printers
UB-92/UB-04 Hospital Claim Envelopes, 9" x 12-1/2"
http://s7d5.scene7.com/is/image/Staples/s0060090_sc7?$thb$
/UB-92-UB-04-Hospital-Claim-Envelopes-9-inch-x-12-1/product_519753
UB-92/UB-04 Hospital Claim Envelopes, 9" x 12-1/2"
0.0
0