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CMS1500 Insurance Claims

Hand-written Duplicate

Hospital Claim Forms

Billing Invoices/Statements

Blank Pre-perforated Statement / Invoice Paper

Billing Envelopes

CMS 1500 Claim Envelopes

Large-Holds up 50 claims

Small-Holds up to 12 claims

Statement Envelopes

For One-Write Systems

For Computer Systems

Dental Insurance Claim Forms

Dental Claim Envelopes

Clinical Charting Forms

Complete Charting System

HIPPA Sign in system

Dental X-Ray Envelope

Large X-Ray Envelope

Route Slips (Superbills)

Generic Route Slip

Custom Route Slip

Samples by Specialty

Internal Medicine

Physical Therapy

Plastic Surgery

Medical Receipt System

One-Write Receipt System

Caremark - Iscribe

California Controlled

Kentucky & Indiana

All Other States

HIPAA Compliant Forms

Patient Sign-In System

With Removable Labels

One-Write System

Notice Of Privacy Practices

Patient Request Forms

Authorize Release of Info.

To Inspect/Review PHI

Confidential Communications

Accounting Of Disclosures

Amendment of Health Info.

Restrictions on PHI Use & Disclosure

Protected Health Info. Logs

Training Record Logs

Employee Training Record

Practice Training Record

Patient Privacy Labels

Hospital & Laboratory Forms

Patient Wrist Band

Patient Valuables Envelope

Emergency Triage Tags

Daily Flow Sheet

Department Receipt Books

Message Mount Sheet

Physicians Orders

Narcotic Control

Prescription Pick-Up log

Laboratory Forms

Appt. Reminder Cards w/ label

Clinical Data Forms

Complete Charting System

Evaluation & Management

Welcome & Patient Info.

Pediatric Growth Charts

Clinical Data Forms

Quicken/Quickbooks

One-Write Checks

Mailing & Statement Processing

Medical Equipment Claim Forms

Home Health Care Claim Forms

Pre-Punched Chart Paper

End Tab Folders

Radiology Jackets

Blank X-Ray Jackets

Imprinted X-Ray Jackets

Category Insert Jackets

Down Size Insert Jackets

One-Write Medical Receipt System

One-Write Medical Receipt System:.
Designed for the medical practice that needs to generate a receipt, keep track of Patient History and generate a daily journal. Fully customized to your specifications.

The package system includes the following:
625 Fully Customized Imprinted & Numbered Receipts, 500 Imprinted Patient Ledger Cards, 100 Medical Day Sheets and 1 Folding Board.

Please fax all Heading information and codes to (973) 252-1885. Make sure to reference your order number.

A proof will be provided prior to printing.

Also available individually for reorder

Quantity

Unit Price

Net Price

View Sample
PDF

1

$319.00

$319.00

625

$135.00

$135.00

1

$55.00

$55.00


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