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CMS-1500 Claim Forms – Current HCFA 02/2012 Version Health Insurance Claim Forms for Medical Facilities and Hospitals, Compatible w/Laser and Inkjet Printers - 8.5'' x 11 (1000 Sheets)

  • SUPERIOR QUALITY: Our CMS-1500 insurance claim forms are manufactured and printed in the USA by US government certified printers on bright white Thick 20 LB paper.
  • compatible with Laser and Inkjet printers. Printed in red ink..
  • All printed fields, boxes, and layout will perfectly align with the correct boxes for easy printing with billing software. No need to change settings when using these high-quality HCFA 1500 claim forms! Printed on red ink for greater scanning accuracy..
  • COMPLIANT WITH ALL GOVERNMENT STANDARDS: Each UB04 Claim Form has accurate content and adheres to strict government standards developed by HIPAA in conjunction with CMS Centers for Medicare and Medicaid Services, NUBC, NUCC, Health and Human Services Agency, and American Hospital Association..
  • SIMPLY YOUR COMPENSATION PROCESS with our 2012 approved CMS-1500 Health Insurance Claim Forms. 500 sheets, proudly made in the USA. Widely accepted by hospitals, nursing facilities, and other in-patient providers since 2014..
  • LATEST APPROVED VERSION FORMS: CMS/HCFA 1500 claim forms (02/2012 version) are the currently approved forms that replaced (version 08/05) CMS-1500 Forms.
  • required for health care providers to bill a patient's insurance company for reimbursement of medical claims..
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SquareTrade 2-Year Accident Protection Plan for Phone

  • Coverage for product damages, breakdowns, and malfunctions.
  • Deductible applies to most claims: Phones $0-$99.99, no deductible. Phones $100-$199.99, $25 deductible per claim. Phones $200-$399.99, $50 deductible per claim. Phones $400-$2,000, $100 deductible per claim..
  • Cancel anytime, full refund in the first 30 days. Transferable with gifts.
  • Allstate Protection Plans (serviced by SquareTrade, an Allstate company) are only valid for new or Amazon certified refurbished products purchased at Amazon in the last 30 days. By purchasing this Protection Plan you agree to the Protection Plan Terms & Conditions (http://www.squaretrade.com/terms-standard). Your Protection Plan Terms & Conditions will be delivered via email within 24 hours of purchase.
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Allstate B2B 2-Year Cell Phones Accidental Protection Plan ($700-799.99)

  • Coverage for product damages, breakdowns, and malfunctions.
  • Deductible applies to most claims: Phones $0-$99.99, no deductible. Phones $100-$199.99, $25 deductible per claim. Phones $200-$399.99, $50 deductible per claim. Phones $400-$2,000, $100 deductible per claim..
  • Cancel anytime, full refund in the first 30 days. Transferable with gifts.
  • Allstate Protection Plans (serviced by SquareTrade, an Allstate company) are only valid for new or Amazon certified refurbished products purchased at Amazon in the last 30 days. By purchasing this Protection Plan you agree to the Protection Plan Terms & Conditions (http://www.squaretrade.com/terms-standard). Your Protection Plan Terms & Conditions will be delivered via email within 24 hours of purchase.
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Allstate B2B 2-Year Cell Phones Accidental Protection Plan ($100-199.99)

  • Coverage for product damages, breakdowns, and malfunctions.
  • Deductible applies to most claims: Phones $0-$99.99, no deductible. Phones $100-$199.99, $25 deductible per claim. Phones $200-$399.99, $50 deductible per claim. Phones $400-$2,000, $100 deductible per claim..
  • Cancel anytime, full refund in the first 30 days. Transferable with gifts.
  • Allstate Protection Plans (serviced by SquareTrade, an Allstate company) are only valid for new or Amazon certified refurbished products purchased at Amazon in the last 30 days. By purchasing this Protection Plan you agree to the Protection Plan Terms & Conditions (http://www.squaretrade.com/terms-standard). Your Protection Plan Terms & Conditions will be delivered via email within 24 hours of purchase.
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ETRONIK Weekender Overnight Bag for Women, Large Travel Duffle Bag with Shoe Compartment & Wet Pocket, Carry On Tote Bag Gym Duffel Bag with Toiletry Bag, Mommy Bag for Hospital 4 Pcs Set, Beige

  • This gym duffel bag for women has a separate bottom compartment for your shoes and others. It can also be used as a hospital bag and mommy bag..
  • 【Carry on Bags for Airplanes】Size (H*W*L) 56x23x31cm/22*9*12'', ETRONIK duffle bag meets most international carry-on requirements. Take this carry on bag as personal items in flight, you can put it in the overhead compartment as well as the under seat. The luggage strap design makes this bag can be setted on your roll-away luggage, this overnight weekend boarding bag is perfect for your business or personal travel..
  • 【Wide Application Duffel Bag】If you' re looking for a beautiful travel bag, it would be a great option. It has a trolley sleeve to slip over your roller luggage, it also has an adjustable padded shoulder strap for satchel or cross body style. You’ll never struggle in the airport again with these top picks. Use it as an duffel bag, airplane travel bag, luggage bag, gym sports bag, overnight weekender bag, carry-on bag, hospital bag, mommy bag or beach bag..
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ComplyRight Iowa State-Compliant Employment Application|8 ½\x11 |50 Pack|

  • ...cation includes all legal disclosures in compliance with federal and state law for Iowa, and is ideal for entry-level and non-exempt positions. Attorney-developed State-Compliant Job Applications support employers in their hiring process by capturing essential details and complying with the latest federal and state requirements..
  • DIMENSION & PACKAGING: The double-sided 4-page Iowa Compliant Job Application is printed in color and measures 8.5" x 11". The forms are sold as a pack of 50 and include a Screening and Interviewing guide filled with valuable information to help you through the hiring process..
  • COMPLYRIGHT: At ComplyRight, our mission is to free employers from the burden of tracking and complying with the complex web of federal, state, and local employment laws. ComplyRight is the market leader in government compliant products such as tax forms, tax software, HR products and services, labor law solutions, and health insurance claim forms..
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New CMS 1500 Health Insurance Claim Forms, HCFA Approved Version (02/12) - 500 Forms

  • New Health Insurance Claim Forms, 2012 Approved Version.
  • 1-Part 8-1/2" X 11" Laser Form CMS-1500, Printed in Red Ink.
  • Required for Healthcare Providers to Bill Patients' Insurance Companies for Reimbursement.
  • Latest HCF / CMS 1500 Claim Form (Approved OMB-0938-1197).
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New CMS 1500 Health Insurance Claim Forms, HCFA Approved Version (02/12) - 1,000 Forms

  • New Health Insurance Claim Forms, 2012 Approved Version.
  • 1-Part 8-1/2" X 11" Laser Form CMS-1500, Printed in Red Ink.
  • Required for Healthcare Providers to Bill Patients' Insurance Companies for Reimbursement.
  • Latest HCF / CMS 1500 Claim Form (Approved OMB-0938-1197).
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New CMS 1500 Health Insurance Claim Forms, HCFA Approved Version (02/12) - Ream of 100 Forms

  • New Health Insurance Claim Forms, 2012 Approved Version.
  • 1-Part 8-1/2" X 11" Laser Form CMS-1500, Printed in Red Ink.
  • Required for Healthcare Providers to Bill Patients' Insurance Companies for Reimbursement.
  • Latest HCF / CMS 1500 Claim Form (Approved OMB-0938-1197).
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New CMS 1500 Health Insurance Claim Forms, HCFA Approved Version (02/12) - Ream of 125 Forms

  • New Health Insurance Claim Forms, 2012 Approved Version.
  • 1-Part 8-1/2" X 11" Laser Form CMS-1500, Printed in Red Ink.
  • Required for Healthcare Providers to Bill Patients' Insurance Companies for Reimbursement.
  • Latest HCF / CMS 1500 Claim Form (Approved OMB-0938-1197).
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UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11\ 100 Forms Per Pack

  • UB-04 (CMS 1450) Health Insurance Claim Form.
  • Accommodates reporting of the National Provider Identifier (NPI) number.
  • 100% compliant with the approved update to the HCFA / CMS1450 health claim form.
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ComplyRight Accident/Illness Report Form | 8-1/2” x 11” | Pack of 25| OSHA Safety

  • ...rds of employee accidents and illnesses is one of the core responsibilities in employee management. This illness and injury recordkeeping form collects such details in accordance with the law, such as information related to the employees, the incidents, and the respective health care professionals..
  • RECORDKEEPING REQUIREMENTS: The law requires that OSHA Accident Report Forms and Illness Report Forms (Form 301) be kept in the establishment for five years. Failure to do so can result in citations and penalties. Any business that is subject to OSHA recordkeeping rules needs to keep records of employee injuries and illnesses. It also has important OSHA rules written on the form for critical incidents and scenarios. This form is equivalent to OSHA Form 301.
  • OSHA SAFETY: OSHA rules are highlighted in the details section for quick reference in the event of anything critical. Not only health concerns but ensuring employee safety is also part of the responsibilities of any business. This form helps collect all the data related to accidents and illnesses of an employee..
  • PACKAGING/DIMENSIONS: Each of these ComplyRight Accident Report Forms measure 8-1/2” in width and 11” in length. It is available in a pack of 25. The forms have double-sided print....
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SquareTrade Allstate B2B 2-Year Cell Phones Accidental Protection Plan $0-99.99

  • Plan starts on the date of purchase. Product damages from accidents, like drops and spills, are covered from day one. Product breakdowns and....
  • $25 deductible per claim. Parts, labor, and shipping are all included..
  • Cancel anytime, full refund in the first 30 days. Transferable with gifts.
  • Easy claims process - file a claim anytime 24/7 via mobile app, online, or phone..
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