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
34
  • 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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Adams Employment Applications, 50/Pad, 2 Pads/Pack (ABF 9661)Adams Employment Applications, 50/Pad, 2 Pads/Pack (ABF 9661)
Item # : 195990
Model # : 9661
4 out of 5 stars
88
Get contact information, employment history and other information from applicants with these Adams letter-size employment application forms.
  • Includes the necessary information for every type of position
  • Contains 50 two-sided forms per pad, two pads per package
$18.79
2/Pack
Pick up in 1 hour
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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
$19.79
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
50
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
$20.49
20/Pack
Pick up in 1 hour
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