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TOP50126RV
- CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
- Top sensor bar for microfiche duplication, as required in some states.
- OCR red ink for scanning.
- CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
- Top sensor bar for microfiche duplication, as required in some states.
- OCR red ink for scanning.
TAB14532
125 Sheet(s) - 11" x 8.50" Form Size - Letter - Green Sheet(s) - Paper - 125 / Pack
- HIPAA-compliant for dependable privacy
- Option to call patient by name or number
- 2nd sheet provides daily patient log
- Special backing paper prevents show-through
- Record up to 23 patients per form
125 Sheet(s) - 11" x 8.50" Form Size - Letter - Green Sheet(s) - Paper - 125 / Pack
- HIPAA-compliant for dependable privacy
- Option to call patient by name or number
- 2nd sheet provides daily patient log
- Special backing paper prevents show-through
- Record up to 23 patients per form
TAB14530
- Forms limit access to personal information as required by HIPAA.
- Once label strip is removed the patient information is now protected behind special backing paper.
- Can be used as confidential daily patient log as well as sign-in sheet.
- Forms limit access to personal information as required by HIPAA.
- Once label strip is removed the patient information is now protected behind special backing paper.
- Can be used as confidential daily patient log as well as sign-in sheet.
RED8L808
- Blue printing with security screen protects against alteration.
- Handy summary box.
- Protective cover.
- Blue printing with security screen protects against alteration.
- Handy summary box.
- Protective cover.
RED8L818
- Blue printing with security screen protects against alteration.
- Handy summary box.
- Protective cover.
- Blue printing with security screen protects against alteration.
- Handy summary box.
- Protective cover.