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Best Claim Submission Process

New CMS 1500 Claim Forms - HCFA (Version 02/12) (100 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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Epson EcoTank Pro ET-16600 Wide-Format Wireless All-in-One Supertank Inkjet Printer, 25 ppm Black/12 ppm Color, 500 Sheet Input

  • ...r ET-5150, ET-5170, ET-5180, ET-5800, ET-5850, ET-5880, ET-16600 or ET-16650 printers purchased from 10/1/2021 to 3/31/2023. Product must be registered within 30 days of purchase. Limit four 542 ink bottles per claim. Each claim cannot contain multiple bottles of the same color. Retain your empty 542 ink bottle for submission along with rebate form. Promotion applies to ink only. Printer covered by Epson 2-year ltd wnty with registration. For promo participation, you must register your product. See manufacturer's website for details..
  • Warning – Printer Designed For Use With Pigment Inks Only   Use of Dye Inks May Cause Damage not covered by the Epson Limited Wnty.
  • You can save up to 80 percent with low-cost replacement ink bottles vs standard-capacity color laser toner cartridges (1) — very low cost per page with about 2 cents per color ISO page vs 14 cents with cartridges (1).
  • Epson EcoTank is the Best Selling Supertank Printer.
  • Fast wide-format prints and scans — print up to 13" x 19" copy and scan up to 11" x 17" up to 25 ISO ppm black print speed (ƚ) powered by PrecisionCore Heat-Free Technology.
  • Print-shop quality — Epson DURABrite Inks are pigment-based for crisp vibrant prints in black-and-white and color that are instant-dry borderless p....
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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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Epson EcoTank ET-M1170 Wireless Monochrome Supertank Printer with Ethernet PLUS 2 Years of Unlimited Ink*

  • *2 Years of Unlimited Ink promo valid for ET-M1170, ET-M2170, or ET-M3170 printers purchased from 10/1/2021 to 3/31/2023. Product must be registered within 30 days of purchase. Limit one 532 ink bottle per claim. Retain your empty 532 ink bottle for submission along with rebate form. Promotion applies to ink only. Printer covered by Epson 2-year ltd wnty with registration. For promo participation, you must register your product. See manufacturer's website for details..
  • Epson EcoTank is the #1 Best Selling Supertank Printer*.
  • Save up to 75 percent with low-cost replacement bottles vs. mono laser toner — about 1/3 of 1 cent per ISO page vs. 2 ½ cents (1)..
  • Worry-free, cartridge-free printing — Replacement ink bottle includes enough ink to print up to 6, 000 pages (2).
  • Powered by Precision Core printing technology — delivers ultra sharp text and remarkable image detail..
  • Fast print speeds, virtually no warmup time — Fast first page out to speed through short Print jobs..
  • Reliability You can count on — 2-year limited with registration (3)..
  • Do more — high-capacity 250-sheet paper tray.
  • Exclusive Eco Fit bottle design — uniquely keyed for easy filling of the p....
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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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UFC Undisputed 2009 - Playstation 3

  • Influence fighter's careers by customizing physical appearance and attributes, learning new fighting techniques and managing his training process through attributes such as strength and cardiovascular health..
  • A fighter roster of more than 80 top names from all weight divisions, as well as popular commentators, announcers, referees, trainers, Octagon girls and more from the world of Ultimate Fighting..
  • Photorealistic fighters who breathe, sweat and move like their real-life counterparts. Players also experience ripple effects across fighters faces and bodies from the impact of punches and kicks..
  • A brand new fighting game engine that emphasizes innovative, responsive and easy-to-play controls will give players unparalleled command of their fighters in the Octagon..
  • Take down opponents and get the submission with a variety of mixed martial arts disciplines, including Judo, Muay Thai, Wrestling, Kickboxing, Boxing and Brazilian Jiu-Jitsu..
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WWE SmackDown! Here Comes the Pain - PlayStation 2

  • Exclusive story mode with original storyline developed by WWE staff writers..
  • Unique Superstar abilities featuring real-life attributes of strength, submission, technique, speed and stamina..
  • New and improved controls including an in-depth countering and interactive submission system..
  • All-new match types including Bra & Panty, First Blood and Elimination Chamber..
  • Enhanced production values featuring dynamic camera transitions, an improved audio experience, Superstar voice over and more-realistic animations..
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2TUFF Card Armor Size 1-200 Count Semi Rigid Card Sleeves and 200 Count Soft Sleeves with Foam Lined Heavy Duty PSA BGS CSG SGC Submission Box - Standard Size Perfect for Grading Card Submissions

  • SIZE: 3 5/16" x 4 7/8" semi-rigid trading card sleeves made for standard size 2.5" x 3.5" in sports and gaming cards. 1/2" lip for easy insertion and....
  • SOFT SLEEVES: Includes 200 ultra clear non pvc acid free soft sleeves for standard size cards.
  • SUBMISSION BOX: 4 packs of 50 semi rigid sleeves and 2 packs of 100 penny sleeves are packed inside our graded card submission box. Box is made....
  • GRADING: The perfect grading tool, our box and sleeves gives you everything needed to make your PSA BGS SGC or CSG grading submission easier. Turn the....
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Slave Girls of Antares: Girl on a Chain

  • BDSM kinky Submission Sex Slave Lingerie Girl Bondage art. My Safe word is Harder BDSM Bondage kinky domination. Ideal for lesbian couples, men, women, Dom girlfriend, sub, Kinkster, Dominant, submissive, Mistress, Dominant and master sex roleplay fans!.
  • Great gift if you are a FemDom Dominatrix Mistress for Shibari sessions with your slave, or for Dominants to get for their Submissive rope bunnies to wear during kinky bound Submission or domination. If you love Spank Naughty Girls DDLG Kinbaku Dom gift.
  • Lightweight, Classic fit, Double-needle sleeve and bottom hem.
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Assurant 5-Year Appliance Protection Plan ($250-299.99)

  • PLAN STARTS: Plan starts date of purchase. Coverage for mechanical breakdowns begins after the manufacturer’s warranty expires..
  • COVERAGE DETAIL: 100% functional parts and labor included on products used for normal, household use and purchased on Amazon within the last 30 days..
  • PLAN BENEFITS: $0 deductible and no hidden fees. Fully transferable if bought as a gift. Food loss reimbursement up to $100 per approved claim for refrigerators and freezers..
  • FILING A CLAIM: Easy claims process online 24/7. Visit assurant360claims.com. We’ll fix it, replace it or send you an Amazon gift card up to the price you paid for your product..
  • HOW TO CANCEL: Cancel anytime, full refund within the first 30 days (less any claims paid). To cancel, visit “Your Orders” on Amazon.com and click “Return or Replace Item” next to the protection plan..
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Assurant 5-Year Appliance Protection Plan ($450-$499.99)

  • PLAN STARTS: Plan starts date of purchase. Coverage for mechanical breakdowns begins after the manufacturer’s warranty expires..
  • COVERAGE DETAIL: 100% functional parts and labor included on products used for normal, household use and purchased on Amazon within the last 30 days..
  • PLAN BENEFITS: $0 deductible and no hidden fees. Fully transferable if bought as a gift. Food loss reimbursement up to $100 per approved claim for refrigerators and freezers..
  • FILING A CLAIM: Easy claims process online 24/7. Visit assurant360claims.com. We’ll fix it, replace it or send you an Amazon gift card up to the price you paid for your product..
  • HOW TO CANCEL: Cancel anytime, full refund within the first 30 days (less any claims paid). To cancel, visit “Your Orders” on Amazon.com and click “Return or Replace Item” next to the protection plan..
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Assurant 5-Year Appliance Protection Plan ($100-124.99)

  • PLAN STARTS: Plan starts date of purchase. Coverage for mechanical breakdowns begins after the manufacturer’s warranty expires..
  • COVERAGE DETAIL: 100% functional parts and labor included on products used for normal, household use and purchased on Amazon within the last 30 days..
  • PLAN BENEFITS: $0 deductible and no hidden fees. Fully transferable if bought as a gift. Food loss reimbursement up to $100 per approved claim for refrigerators and freezers..
  • FILING A CLAIM: Easy claims process online 24/7. Visit assurant360claims.com. We’ll fix it, replace it or send you an Amazon gift card up to the price you paid for your product..
  • HOW TO CANCEL: Cancel anytime, full refund within the first 30 days (less any claims paid). To cancel, visit “Your Orders” on Amazon.com and click “Return or Replace Item” next to the protection plan..
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Assurant 5-Year Appliance Protection Plan ($350-$399.99)

  • PLAN STARTS: Plan starts date of purchase. Coverage for mechanical breakdowns begins after the manufacturer’s warranty expires..
  • COVERAGE DETAIL: 100% functional parts and labor included on products used for normal, household use and purchased on Amazon within the last 30 days..
  • PLAN BENEFITS: $0 deductible and no hidden fees. Fully transferable if bought as a gift. Food loss reimbursement up to $100 per approved claim for refrigerators and freezers..
  • FILING A CLAIM: Easy claims process online 24/7. Visit assurant360claims.com. We’ll fix it, replace it or send you an Amazon gift card up to the price you paid for your product..
  • HOW TO CANCEL: Cancel anytime, full refund within the first 30 days (less any claims paid). To cancel, visit “Your Orders” on Amazon.com and click “Return or Replace Item” next to the protection plan..
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