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forms

  (264 items found)
Filters:Category: Medical Forms & BooksClear All
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Medical Arts Press® Minor or Childs Consent Forms; Medical
$3.00 Pad
When you buy 40+
Customize
Item # 901-13411
CMS Form 1500 Rev. 02/12 Claim Form, 8-1/2 x 11, 1-Part, 100 Forms, Personalized (14719)

CMS Form 1500 Rev. 02/12 Claim Form, 8-1/2" x 11", 1-Part, 100 Forms, Personalized (14719)

1 part form for use by all medical facilities/entities billing insurance companies, Medicaid and Medicare
Laser cut and printed on white paper, carbonless
Includes 100 forms
$12.79 Pad
When you buy 20+
Customize
Item # 901-14719
CMS Form 1450 (UB-04) Claim Forms; Laser Sheets

CMS Form 1450 (UB-04) Claim Forms; Laser Sheets

Use for a variety of Medicare and Medicaid claims
Meets all of CMSs latest printing standards
Printed in OCR-scannable red ink
$39.99 Box
When you buy 5+
Item # 901-10102
Lifetime Warranty
Medical Arts Press® Chiropractic Registration and History Forms, Botanical

Medical Arts Press® Chiropractic Registration and History Forms, Botanical

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
$56.99 Pack
When you buy 8+
Item # 901-15164
Lifetime Warranty
Medical Arts Press® Replacement Day Sheet Forms; Day Sheet no Deposit Slip, Format 276
$39.99 Pack
When you buy 10+
Item # 901-20534
Lifetime Warranty
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 2-Part Snap-Apart, Carbonless, 500/Box

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 2-Part Snap-Apart, Carbonless, 500/Box

Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
$56.99 Box
Item # 901-CMS12650656
Medical Arts Press® FormFamily Dental History Update Form

Medical Arts Press® FormFamily Dental History Update Form

Type of form: Dental history update form
250 per pack
Size: 8 1/2" x 11"
$28.00 Pack
When you buy 4+
Item # 901-20610
Lifetime Warranty
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 1-Part Continuous, 1,500/Box

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 1-Part Continuous, 1,500/Box

Designed for filing Medicare part B claims as well as claims to commercial insurance companies
Includes the newest NUCC revisions
Printed in red, OCR scannable ink in complaince with government standards
$58.99 Box
Item # 901-CMS12651183
Medical Arts Press® Comprehensive Examination Form

Medical Arts Press® Comprehensive Examination Form

4-page document records clinical detail from a patient's comprehensive exam
Includes sections to record results from clinical tests
Includes top 25 ortho/neuro tests
$39.00 Pack
When you buy 4+
Item # 901-21700
Lifetime Warranty
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets

Designed for filing Medicare part B claims as well as claims to commercial insurance companies
Includes the newest NUCC revisions
Printed in red, scannable, OCR ink
$6.79 Pack
Item # 901-CMS12650657
Item # 901-13026
ComplyRight™ Notice of Privacy Practice

ComplyRight™ Notice of Privacy Practice,8-1/2" x 11", 50 Forms

Describes how medical information about patients may be used and disclosed
Includes a Tip Sheet in each package that explains the purpose of the form, relevant laws, definitions and dos and donts
Size 8-1/2 x 11
$17.99 Pack
Item # 901-A1349
Medical Arts Press® Dental Chart Forms For Adult Patients; Information Update

Medical Arts Press® Dental Chart Forms For Adult Patients; Information Update

Size: 8.5 X 11 inch
Form Printed On 1 Side
100 per package
$12.50 Pack
When you buy 8+
Item # 901-32429
Lifetime Warranty
ADA 2012 Dental Claim Form 1-Part 2,500/Carton

ADA 2012 Dental Claim Forms; 1-Part Continuous, 2,500/Carton

100% compliant to meet ADA guidelines
2012 version accommodates NPI requirements and complies with the latest HIPAA guidelines
The American Dental Association urges universal use and acceptance of the 2012 ADA dental claim form by third-party payers, third-party payer organizations and electronic data interchange agencies
$56.99 Carton
When you buy 2+
Item # 901-1201M
ADA 2012 Dental Claim Form 1-Part 1,000/Carton

ADA 2012 Dental Claim Forms; 1-Part Continuous, 1,000/Carton

100% compliant to meet ADA guidelines
2012 version accommodates NPI requirements and complies with the latest HIPAA guidelines
The American Dental Association urges universal use and acceptance of the 2012 ADA dental claim form by third-party payers, third-party payer organizations and electronic data interchange agencies
$47.99 Carton
When you buy 2+
Item # 901-12011
ADA 2012 Laser Dental Claim Form 1,000/Carton

ADA 2012 Dental Claim Forms; Laser, 1,000/Carton

100% compliant to meet ADA guidelines
2012 version accommodates NPI requirements and complies with the latest HIPAA guidelines
The American Dental Association urges universal use and acceptance of the 2012 ADA dental claim form by third-party payers, third-party payer organizations and electronic data interchange agencies
$47.99 Carton
When you buy 2+
Item # 901-12001M
ADA 2012 Laser Dental Claim Form 2,500/Carton

ADA 2012 Dental Claim Forms; Laser, 2,500/Carton

100% compliant to meet ADA guidelines
2012 version accommodates NPI requirements and complies with the latest HIPAA guidelines
The American Dental Association urges universal use and acceptance of the 2012 ADA dental claim form by third-party payers, third-party payer organizations and electronic data interchange agencies
$59.99 Carton
When you buy 2+