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  (121 items found)
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ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 250/Box

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 250/Box

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
This form was revised to align the paper form with some of the changes in the electronic healthcare claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
The most significant change was the addition of 8 diagnosis codes in field 21
$13.99 Box
Item # 901-CMS12LC250
Quick Ship: 1-2 business day delivery
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 2,500/Box

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 2,500/Box

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
This form was revised to align the paper form with some of the changes in the electronic health care claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
The most significant change was the addition of 8 diagnosis codes in field 21
$79.99 Box
When you buy 2+
Item # 901-CMS12LC
Quick Ship: 1-2 business day delivery
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 1000/Carton

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 1000/Carton

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
This form was revised to align the paper form with some of the changes in the electronic health care claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
The most significant change was the addition of 8 diagnosis codes in field 21
$49.99 Carton
Item # 901-CMS12LC1
Centers for Medicare and Medicaid Services Forms, 8-1/2 x 11, 250 Forms

Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250 Forms

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
OCR red ink for scanning
$25.99 Pack
Item # 901-2408453
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/White, 1,000/Box

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/White, 1,000/Box

Printed with OCR "dropout" red ink on 20# paper, as per government regulations
1,000 per case
Form is "8.5x11"
$74.99 Box
When you buy 2+
Item # 901-CMS12W2
ComplyRight™ I-9 Form

ComplyRight™ I-9 Form

Federal law requires employers to verify that employees are eligible to work in the US and keep forms on file, neglecting to do so can result in costly penalties and fines
I-9 forms include completion instructions and record-keeping guidelines
Place the I-9 template over every Form I-9 to ensure its completed properly
$29.99 Pack
Item # 901-AR0275
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 1-Part Continuous, 1,000/Carton

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 1-Part Continuous, 1,000/Carton

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
This form was revised to align the paper form with some of the changes in the electronic health care claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
The most significant change was the addition of 8 diagnosis codes in field 21
$47.99 Carton
When you buy 2+
Item # 901-CMS1211
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 2-Part Continuous with Label, 1,000/Carto

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 2-Part Continuous with Label, 1,000/Carton

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
This form was revised to align the paper form with some of the changes in the electronic health care claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
The most significant change was the addition of 8 diagnosis codes in field 21
$94.99 Carton
When you buy 2+
Item # 901-CMS122B
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 3-Part Continuous, White/White, 1,000/Pac

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 3-Part Continuous, White/White, 1,000/Pack

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
This form was revised to align the paper form with some of the changes in the electronic health care claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
The most significant change was the addition of 8 diagnosis codes in field 21
$79.99 Pack
Item # 901-CMS123
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 1-Part Continuous with Label, 1,000/Carto

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 1-Part Continuous with Label, 1,000/Carton

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
This form was revised to align the paper form with some of the changes in the electronic health care claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
The most significant change was the addition of 8 diagnosis codes in field 21
$66.99 Carton
When you buy 2+
Item # 901-CMS121B
ComplyRight™ Background Check Form (AR0941)

ComplyRight™ Background Check Form (AR0941)

Before you can request a credit report, driving history or criminal background check, you are legally required to get the applicant's consent
This attorney-approved form ensures you comply with the law
The form captures all essential applicant information
$29.99 Pack
Item # 901-AR0941
ComplyRight OSHA Form 301, Pack of 25 (W0282)

ComplyRight OSHA Form 301, Pack of 25 (W0282)

Must be completed within seven days after a recordable injury or illness has occurred
Attorney-approved to ensure 100% compliance
Pack of 25 forms
$29.39 Each
Item # 901-2548922
Item # 901-CMS122
ComplyRight 2019 Time Off Request and Approval Form, 5-1/2 x 8-1/2, 2-Part, Pack of 50 (A0045)

ComplyRight 2019 Time Off Request and Approval Form, 5-1/2" x 8-1/2", 2-Part, Pack of 50 (A0045)

Calendar format makes it easy for employees to select and submit time off requests
Ensures a consistent request and approval process for all employees
Attorney-approved to ensure 100% compliance
$45.99 Each
Item # 901-24202398
ComplyRight 2019 Time Off Request and Approval Form, 8-1/2 x 11, 2-Part, Pack of 50 (A0030)

ComplyRight 2019 Time Off Request and Approval Form, 8-1/2" x 11", 2-Part, Pack of 50 (A0030)

Calendar format makes it easy for employees to select and submit time off requests
Ensures a consistent request and approval process for all employees
Attorney-approved to ensure 100% compliance
$67.99 Each
Item # 901-24202397
TOPS CMS-1500 1 Part Health Insurance Claims 500/Pack (TOP 50126RV)

TOPS CMS-1500 1 Part Health Insurance Claims 500/Pack (TOP 50126RV)

Satisfy record keeping requirements with these health insurance claim forms
Number of parts: 1
Contains 500 forms per package
$48.69 Pack
Item # 901-309934
8-1/2x11 50/Pack Daily Attendance Record

Adams® Employee Personnel File & Forms, Daily Attendance Record, 50 Per Pack, 8-1/2x11"

Control costs and keep track of employees' work schedules with daily attendance record
Contains 50 records per package
Perfect contrast of blue ink on white paper
$17.69 Pack
When you buy 3+
Item # 901-9493
Adams Employment Applications, 50/Pad, 2 Pads/Pack (ABF 9661)

Adams Employment Applications, 50/Pad, 2 Pads/Pack (ABF 9661)

Includes the necessary information for every type of position
Contains 50 two-sided forms per pad, two pads per package
Perfect contrast of blue ink on white paper
$15.29 Pack
When you buy 3+
Item # 901-9661
ComplyRight Request for Time Off, 2 Part Small, Pack of 50 (A2203)

ComplyRight Request for Time Off, 2 Part Small, Pack of 50 (A2203)

Attorney-approved to ensure 100% compliance
Pack of 50 forms
Clearly outlines who is requesting and who approves paid time off
$41.99 Each
Item # 901-2549338
ComplyRight™ 2019 Time Off Request and Approval Calendar (A0037), Pack of 50

ComplyRight™ 2019 Time Off Request and Approval Calendar (A0037), Pack of 50

Calendar format makes it easy for employees to select and submit time off requests
Ensures a consistent request and approval process for all employees
Attorney-approved to ensure 100% compliance
$39.99 Pack
Item # 901-2548986
Applications For Employment, 8-1/2 x 11, White

Applications For Employment, 8-1/2 x 11", White

Revised to meet requirements of The Americans with Disabilities Act
White bond paper punched at top with three 1/4" holes spaced to fit post binders or end opening ring binders and pressboard binders
50 Forms
$8.29 Pad
Item # 901-2658687
Item # 901-377680
Manila Flat Employee Record Master File

Tops® Employee Record Master File, Flat, Manila

Record and update employment history on the preprinted form on front side
Holds pre- and post-hiring forms
Closed sides
$23.99 Pack
When you buy 10+
Item # 901-3280Q
Quick Ship: 1-2 business day delivery
Daily Attendance Cards

Daily Attendance Cards

50 forms
1 form per page
Track employee attendance for the entire year with absence codes
$12.49 Each
Item # 901-370114
Green Flat Employee Record File Folder

Tops® Employee Record File Folder, Flat, Green

11 3/4" x 9 1/2"
20 forms
1 form per page
$21.49 Pack
Item # 901-3287
ComplyRight FMLA Leave Tracker, Pack of 50 (A1436)

ComplyRight FMLA Leave Tracker, Pack of 50 (A1436)

Includes a tip sheet of do's and don'ts for tracking FMLA leave
Helps you properly calculate intermittent and long-term employee leave
Pack of 50 forms
$43.99 Each
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