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HOME HEALTH CARE FORMSCMS-485...

CMS 485, 486, 487 HOME HEALTH CARE CLAIM FORMS CMS 485 AND CMS 487 FORMS ARE AVAILABLE AS 4 PART CONTINUOUS (TRACTOR-FEED) FORMS AND CMS 486 FORMS ARE AVAILABLE AS 3 PART CONTINUOUS FORMS. CMS-485CMS-486 CMS-487CLICK IMAGE TO ENLARGE DescriptionQuantity/CasePrice/CaseSecure OrderCMS 4854 Part Continuous500$55.00 Quantity: CMS 4863 Part Continuous1000$75.00 Quantity: CMS 4874 Part Continuous500$55....

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Claim Form Envelopesfor...

UB04 & CMS-1500 / HCFA-1500CLAIM FORM ENVELOPESALL ENVELOPES ARE SELF-SEAL AND HAVE SECURITY LINER.IMPRINT YOUR RETURN ADDRESSYour return address can be imprinted in the upper left of all envelopes.Call for imprinting details. 1-877-840-1500 DescriptionPicture of EnvelopeQuantity/CasePrice/CaseSecure OrderEnvelopes forCMS/HCFA 1500 #10 (9-1/2" x 4-1/8")Right WindowITEM # D38500$29.20 Quantity:...

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American HCFA Forms - your fastest source for HCFA forms, CMS...

CLAIM FORMS STARTING AT $19.99We Have the Newest Revision of CMS-1500 FORMS (STARTING AT $19.99)We Have the New UB-04 CLAIM FORMS (STARTING AT $19.99)CMS/HCFA-1500 (NEW VERSION)New! Newest Revision of CMS-1500 formsindividual sheetsNew! Newest Revision of CMS-1500 formscontinuous formsNew! Newest Revision of CMS-1500 formssnapout formsHCFA 1500 FORMS (OLD VERSION)individual sheets (with bar code)i...

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Dental X-Ray Envelopes

DENTAL X-RAY ENVELOPES Main Features:Single Window6-1/2 x 13-3/4Brown Kraft EnvelopeCLICK TO ENLARGE DescriptionQuantity/CasePrice/CaseSecure OrderDental x-ray envelope250$60.00 Quantity: Discounts available for large quantities.Contract pricing available. Call for details!ALL OUR FORMS ARE OF THE HIGHEST QUALITY, ARE PRINTED IN STRICT COMPLIANCE WITH GOVERNMENT SPECIFICATIONS AND ARE APPROVED BY ...

http://www.americanhcfaforms.com/envxray/envxray.html

Patient Request for Amendment...

Patient Request for Amendment ofHealth Information (Form #105) The patient who requests that an amendment be made to his record will be asked to complete this request. It contains all elements necessary for the provider to make a decision to grant or deny the request. The form is retained in the patient's medical record.DescriptionPkg Qty Price/PackSecure OrderPatient Request for Amendment of Heal...

http://www.americanhcfaforms.com/hipaa1/105/105.html

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