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Page 3 of paris health insurance claim forms

(2262 items found)
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Quill Brand® Special-Size 3 Part Carbonless Forms, 9-1/2x5-1/2, 1,000/CT (9353)
Quill Brand® Special-Size 3 Part Carbonless Forms, 9-1/2x5-1/2", 1,000/CT (9353)
Item #: 901-710837
Use Quill Brand special-size multi-part carbonless forms when you need multiple copies of the same form
Size: 9-1/2x5-1/2"; 8-1/2x5-1/2" without the carrier strips
3-part forms: white top sheet, canary-colored second sheet and pink third sheet
$139.99
Per carton
Medical Arts Press® Welcome Registration Form,  Eye Graphic
Medical Arts Press® Welcome Registration Form, Eye Graphic
Item #: 901-21783
Type of form: Message sign
Size: 8" x 5"
Message type: Standard
$63.99
1 pack
Save 7%
$58.99
2+ pack
Medical Arts Press® Dental Registration and Medical History Form,  Ledger StockMedical Arts Press® Dental Registration and Medical History Form,  Ledger Stock
Medical Arts Press® Dental Registration and Medical History Form, Ledger Stock
Item #: 901-20128MAP
Type of form: Dental registration and medical history form
250 per pack
Size: 8 1/2" x 11"
$53.99
1-3 pack
Save 3%
$51.99
4+ pack
TOPS 2023 W-2 Tax Form, 1-Part, Copy B, 100/Pack (LW2EEBQ)
TOPS 2023 W-2 Tax Form, 1-Part, Copy B, 100/Pack (LW2EEBQ)
Item #: 901-5202
W-2 Tax Forms for every employer with one or more employees to report employee wages, tips, Federal Income and Social Security Tax withheld by the Federal Government
1 part Copy B cut sheet laser form
Printed in black ink
$12.59
1-4 pack
Save 4%
$11.99
5+ pack
Medical Arts Press® Chiropractic Registration and History Forms, Holistic Care
Medical Arts Press® Chiropractic Registration and History Forms, Holistic Care
Item #: 901-15165
Forms ensure reimbursement, improve risk management and document your clinical process
Comprehensive color forms include areas for complete registration and history information, reason for visit, type of pain, site of pain or numbness, severity
Also includes areas for onset, effect on daily activities, and conditions
$80.99
Per pack
Medical Arts Press® Podiatry Registration and History Form, Teal, No PunchMedical Arts Press® Podiatry Registration and History Form, Teal, No Punch
Medical Arts Press® Podiatry Registration and History Form, Teal, No Punch
Item #: 901-20590NP
Type of form: Registration and history form
250 per pack
Size: 8 1/2" x 11"
$50.99
1 pack
Save 11%
$44.99
2+ pack
Adams 3-Part Carbonless Contractors Invoice Forms, 8.5W x 11.44L, 100/Pack (ABF NC3822)Adams 3-Part Carbonless Contractors Invoice Forms, 8.5W x 11.44L, 100/Pack (ABF NC3822)
Adams 3-Part Carbonless Contractors Invoice Forms, 8.5"W x 11.44"L, 100/Pack (ABF NC3822)
Item #: 901-468744
Business form type: contractor invoice
Form size: 11.44"L x 8.5"W
Features a carbonless 3-part format and comes in white
$26.99
Per pack
ComplyRight Employee Warning Notice Forms, 50/Pack (AR0395)
ComplyRight Employee Warning Notice Forms, 50/Pack (AR0395)
Item #: 901-712137
Plus, this handy form includes space for employee and supervisor signatures.
50 Pack
Size: 81/2” x 11”
$52.99
Per pack
Money Receipt Forms, Carbonless, 3 Part, Hard Cover, 2-3/4 x 7, 200 Sets/Book (RED8L818)Money Receipt Forms, Carbonless, 3 Part, Hard Cover, 2-3/4 x 7, 200 Sets/Book (RED8L818)
Money Receipt Forms, Carbonless, 3 Part, Hard Cover, 2-3/4" x 7", 200 Sets/Book (RED8L818)
Item #: 901-864876
Duplicates print black
NOTE ON NUMBERED FORMS: Sorry, but we are unable to fill requests for a specific number series
Safety tint on original rubs off if erased
$49.99
Per each
Medical Arts Press® Dental Registration and History Form; Tooth BorderMedical Arts Press® Dental Registration and History Form; Tooth Border
Medical Arts Press® Dental Registration and History Form; Tooth Border
Item #: 901-20596
HIPAA compliant insurance authorization
Help ensure reimbursement and improve risk management
Collects printed name and relationship to patient
$53.99
1-3 pack
Save 3%
$51.99
4+ pack
Adams 2023 1098 Mortgage Interest Statement Tax Forms with Self Seal Envelopes, 3-Part, 12/Pack (STAAdams 2023 1098 Mortgage Interest Statement Tax Forms with Self Seal Envelopes, 3-Part, 12/Pack (STA
Adams 2023 1098 Mortgage Interest Statement Tax Forms with Self Seal Envelopes, 3-Part, 12/Pack (STAX1098-23)
Item #: 901-24564836
Use Form 1098 to report mortgage interest of $600 or more received during the year in the course of trade or business from an individual, including a sole proprietor
For paper filers, the 2023 1098 (copy B) is due to your recipients by January 31, 2024; mail Copy A and 1096 to the IRS by February 28, 2024; or eFile by April 1, 2024; New IRS eFile regulations require e-Filing for 10 or more returns of certain form
s; Try the new Adams Tax Forms Helper to eFile to the IRS/SSA ...
$23.59
Per pack
Medical Arts Press® Dental Registration Forms Featuring Updates Section; Sky Blue, SpanishMedical Arts Press® Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish
Medical Arts Press® Dental Registration Forms Featuring Updates Section; Sky Blue, Spanish
Item #: 901-20743
HIPAA-compliant insurance authorization
Collects printed name and relationship to patient
Medication list requests correlating diagnosis
$56.99
1-3 pack
Save 3%
$54.99
4+ pack
Medical Arts Press® Dental Treatment Record Form; 2-SidedMedical Arts Press® Dental Treatment Record Form; 2-Sided
Medical Arts Press® Dental Treatment Record Form; 2-Sided
Item #: 901-20608
Ideal for practices that prefer not to record fees on their treatment notes
Form includes basic patient information
Two-sided with back of form ruled
$46.99
1-3 pack
Save 4%
$44.99
4+ pack
Medical Arts Press® Podiatry Registration and History Forms, Love Your Feet
Medical Arts Press® Podiatry Registration and History Forms, Love Your Feet
Item #: 901-15143
Colorful, user-friendly format
Combines thorough patient registration with specialized podiatric health history
Features personal and insurance information sections that enable you to set up your patient s account with ease
$44.99
1 pack
Save 4%
$42.99
2+ pack
ComplyRight HIPAA Patient Consent and Authorization Form (A1350)
ComplyRight HIPAA Patient Consent and Authorization Form (A1350)
Item #: 901-398021
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"
$59.99
Per pack
Adams Preprinted Wills Forms, 11H x 8.5W (K307)Adams Preprinted Wills Forms, 11H x 8.5W (K307)
Adams Preprinted Wills Forms, 11"H x 8.5"W (K307)
Item #: 901-572459
Last Will and Testament legal forms are simple to use and easy to understand
White primary page coloring
One kit includes necessary forms, instructions, and information
$30.99
Per each
Medical Arts Press® Chiropractic Registration and History Forms, BotanicalMedical Arts Press® Chiropractic Registration and History Forms, Botanical
Medical Arts Press® Chiropractic Registration and History Forms, Botanical
Item #: 901-15164
Improved forms ensure reimbursement, improve risk management and document your clinical process
Areas for complete registration and history information, reason for visit, type of pain, site of pain or numbness, severity, onset, effect on daily activities, constancy and progression of symptoms
HIPAA-compliant insurance authorization
$79.99
1 pack
Save 6%
$74.99
2+ pack
TOPS 2023 1099-MISC Tax Form, 1-Part, Copy C/2 Payer or State, 100/Pack (LMISCPAY2)
TOPS 2023 1099-MISC Tax Form, 1-Part, Copy C/2 Payer or State, 100/Pack (LMISCPAY2)
Item #: 901-5112
As of 2023, you'll use Form 1099-MISC solely to report miscellaneous income to the IRS and your recipients, including rents, royalties and other types of income payments
For paper filers, the 2023 1099-MISC Copy B is due to your recipients by Feb. 1, 2023 (if box 8 and 10 are empty) or Feb. 16 (if filled); Copy A and 1096 must be mailed to the IRS by March 1, 2023; or e-file by March 31, 2023
Copy C or Copy 2 forms print 2 to a page on 50 micro perforated sheets
$15.59
1-3 pack
Save 3%
$14.99
4+ pack
Out of stock
TOPS 2023 1099-NEC Tax Form, 1-Part, Copy A, 50/Pack (LNECFED16)
TOPS 2023 1099-NEC Tax Form, 1-Part, Copy A, 50/Pack (LNECFED16)
Item #: 901-LNECFED16
Form 1099-NEC records all nonemployee compensation to the IRS and recipients, replacing Box 7 on the 1099-MISC
The 2023 1099-NEC must be mailed or e-filed to the IRS and furnished to your recipients by February 1, 2023
Federal Copy A sheets are printed 3 to a page on 50 micro perforated sheets
$11.99
1-4 pack
Save 3%
$11.59
5+ pack
Out of stock
Adams 2023 1099-INT Tax Forms with Self Seal Envelopes, 5-Part, 12/Pack (STAX5INT-23)Adams 2023 1099-INT Tax Forms with Self Seal Envelopes, 5-Part, 12/Pack (STAX5INT-23)
Adams 2023 1099-INT Tax Forms with Self Seal Envelopes, 5-Part, 12/Pack (STAX5INT-23)
Item #: 901-24564834
Use Form 1099-INT to report interest income to the Internal Revenue Service and your recipients; now a continuous-use form with a fill-in-the-year date field good for multiple tax years
For paper filers, the 2023 1099-INT (copy B) is due to your recipients by January 31, 2023; mail Copy A and 1096 to the IRS by February 28, 2024; or eFile by April 1, 2024; New IRS eFile regulations require e-Filing for 10 or more returns of certain
forms; Try the new Adams Tax Forms Helper to eFile to the IRS/SSA ...
$23.99
Per pack
Out of stock
TOPS 2023 W-2 Tax Form, 1-Part, Copy A, 100/Pack (LW2FEDAW3)
TOPS 2023 W-2 Tax Form, 1-Part, Copy A, 100/Pack (LW2FEDAW3)
Item #: 901-5201
W-2 Tax Forms for every employer with one or more employees to report employee wages, tips, Federal Income and Social Security Tax withheld by the Federal Government
1 part Copy A cut sheet laser form
Printed in scannable red ink
$12.59
1-3 pack
Save 4%
$11.99
4+ pack
Out of stock
TOPS 2023 1099-MISC Tax Form, 50/Pack (LMISCREC-S)
TOPS 2023 1099-MISC Tax Form, 50/Pack (LMISCREC-S)
Item #: 901-920081
1099-MISC Tax Forms are used to report rents, royalties, prizes and awards, fishing boat proceeds, fees, commissions paid to non-employees, receipts of medical and health care payments, and substitute payments in lieu of dividends or interest
50 sheets per pack, 2 forms per sheet
Laser/inkjet printer compatible
$12.99
1-3 pack
Save 3%
$12.59
4+ pack
Out of stock
TOPS 2023 W-3 Tax Form, 1-Part, 25/Pack (LW325)
TOPS 2023 W-3 Tax Form, 1-Part, 25/Pack (LW325)
Item #: 901-5200Q
W-2 Wage & Tax Statement with W-3 Transmittal
Cut sheet laser form
Printed in scannable red ink & black ink
$11.99
1-3 pack
Save 3%
$11.59
4+ pack
Out of stock
TOPS 2023 1099-R Tax Form, 1-Part, Federal Copy A, 50/Pack (LRFEDA-S)
TOPS 2023 1099-R Tax Form, 1-Part, Federal Copy A, 50/Pack (LRFEDA-S)
Item #: 901-920103
1099R Tax Forms for Distributions From Pensions, Annuities, etc. are used to report distributions from annuities, profit-sharing plans, retirement plans, IRAs, insurance contracts, or pensions.
1 part Federal Copy A laser cut sheet form
Laser/inkjet printer compatible
$8.59
1-3 pack
Save 6%
$7.99
4+ pack
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