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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

Hospital Claim Forms: Continuous

Please note that the new version is now available and will be mandatory as of June 1st, 2007. Note that Reprogramming is necessary. Following is the timeline for acceptance:

June 1st, 2007.:
The UB-92 is discontinued; only the new UB-04 billing form is to be used. All rebilling of claims should use the UB-04 billing form from this date forward, even though earlier submissions may have been on the UB-92.

Format:
Continuous Feed Printed in red OCR (optical character recognition)ink on special bond paper in strict compliance with government printing.

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Check Printing-Software compatible \| Check Printing-Blank Laser Stock \| Check Printing - 3 to a Page Bank Checks \| Check Printing - One Write Systems \| Check Printing- Blank Pressure Seal \| U-Seal Self mailer \| Check Micr Printers \| Check Printing - Deposit Tickets \| Tax Forms-W2 \| Tax Forms-1099 \| Form-N-Envelope \| Register Forms \| Blank Plastic Membership Cards \| One Write Cash Receipt System \| One Write Rental Receipt System \| One Write-Attorney Trust \| One Write-Attorney Disbursements \| One Write- Gift Certificate \| Report Card Envelopes \| School Forms-Custom Printed \| Variable Imaging & Mail Services \| Warehousing and Distribution \| Blank Pre-perforated Paper \| Pre-inserted Billing Envelopes \| UB92 Insurance Claim Forms \| UB92 Claim Envelopes \| CMS1500 Insurance Claim Forms \| CMS 1500 Claim Envelopes \| Dental Claim Forms \| Dental X-Ray Envelope \| New Jersey Prescription Pads \| California Prescription Pads \| Security Prescriptions \| HIPPA Sign in with removable labels \| One Write HIPAA sign in system \| LaserBand Hospital Patient Wristbands \| Patient Valuables Envelope \| Narcotic Control Sheets \| Receipt Books \| Lab Mount Sheets \| Appointment Reminder Card \| Manila File Folders \| Radiology Jackets