Secure HR Forms for Pay and Benefits

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ComplyRight CMS-1500 Health Insurance Claim Form (02/12), 1000/Carton (CMS12LC1)
Item # : 116719
Model # : CMS12LC1
5 out of 5 stars
32
  • Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
  • The most significant change was the addition of 8 diagnosis codes in field 21
$24.49
1000/Carton
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Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250 Forms
Item # : 2408453
Model # : 50135RV
5 out of 5 stars
9
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid, or private insurance benefits. Features OCR red ink for scanning.
  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
  • Top sensor bar for microfiche duplication, as required in some states
$18.49
250/Pack
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Adams 1 Part Employee Personal Files, 20/Pack (9287ABF)Adams 1 Part Employee Personal Files, 20/Pack (9287ABF)
Item # : 266775
Model # : 9287ABF
4 out of 5 stars
49
Keep track of employee information with this 20-pack of Adams personnel file folders.
  • The employee personnel file folder is complete with space for any case
  • Number of parts: 1
$19.69
20/Pack
Pick up in 1 hour
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Adams Time Sheets, 100/Pad, 2 Pads/Pack (ABF 9507ABF)
Item # : 124495
Model # : 9507ABF
4 out of 5 stars
30
Keep accurate track of payroll hours with these Adams white 8.5 x 5.5-inch time sheets.
  • Track weekly time, including morning, afternoon, and overtime using these time sheets
  • Number of parts: 1
$13.79
2/Pack
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