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ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 2,500 (CMS12LC)
Item #: 901-125557
Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
$108.99
Per pack
ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
Item #: 901-CMS12LC250
Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
This form was revised to align the paper form with some of the changes in the electronic healthcare claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
The most significant change was the addition of 8 diagnosis codes in field 21
$33.99
Per box
ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500)
Item #: 901-24581404
This CMS-1500 jumbo health care billing envelope helps reduce processing delays
500 envelopes per box
Form size: 9" x 12.5"
$127.99
Per each
ComplyRight 2024 Attendance Calendar Kit, White, Pack of 25 (A1411W16PK25)
Item #: 901-1949173TFP
Calendar format on front of Attendance Calendar Cards makes noting absences quick and easy
Simple coding system included to aid in quickly identifying troubling patterns
Back of Attendance Calendar form allows for recording absence notes, tracking leave as well as any employee warnings for attendance issues
$82.99
Per each
ComplyRight Personnel Folder, 6-Part , 25 Forms/Pack (A1175)
Item #: 901-1949186TFP
Expandable organizer offers convenient, comprehensive record-keeping
Contains six different file folders per organizer
Contains 25 organizers per package including one outer jacket and six tabbed folders each
$223.99
Per each
ComplyRight 1-Part Personnel Folder, 25/Pack (A222)
Item #: 901-1949183
Expandable confidential personnel folder protects legally sensitive information
One-part personnel folder
Contains 25 files per package
$130.99
Per each
ComplyRight 1-Part Personnel Folder, 25/Pack (A223)
Item #: 901-1949180
Personnel folder keeps quick information on the outside and confidential records on the inside
One-part personnel folder
Contains 25 folders per package
$87.99
Per each
ComplyRight™ Expanded Employee Records Folder, Letter Size, Pack of 25 (A5008)
Item #: 901-1949181
Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Expanded folder has 1.5” spine which holds more than 100 employee documents
$126.99
Per each
ComplyRight™ Massachusetts Job Application, Pack of 50 (A2179MA)
Item #: 901-1182882EDI
Written by Employment Attorneys to ensure compliance with your state laws
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$81.99
Per pack
ComplyRight™ Michigan Job Application, Pack of 50 (A2179MI)
Item #: 901-1949607TFP
Written by Employment Attorneys to ensure compliance with your state laws
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$79.99
Per each
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets
Item #: 901-CMS12650657
Designed for filing Medicare part B claims as well as claims to commercial insurance companies
Includes the newest NUCC revisions
Printed in red, scannable, OCR ink
$6.49
Per pack
ComplyRight Employee Record Organizer for Small Business, 3-Folder Set (A3103)
Item #: 901-1949185TFP
Contains 3 folders: Hiring/Employment History, Payroll/Tax and Benefits/Insurance
Back side of organizer jacket explains what records you must keep and for how long
Organizer: 9.5" x 11.875" x 1.75"
$125.99
Per each
ComplyRight™ Wisconsin Job Application, Pack of 50 (A2179WI)
Item #: 901-1949686TFP
Written by Employment Attorneys to ensure compliance in all 50 states
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$68.99
Per each
ComplyRight™ Vermont Job Application, Pack of 50, (A2179VT)
Item #: 901-1949688TFP
Written by Employment Attorneys to ensure compliance in all 50 states
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$54.99
Per each
ComplyRight™ Texas Job Application, Pack of 50 (A2179TX)
Item #: 901-1182982EDI
Written by Employment Attorneys to ensure compliance with your state laws
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$58.99
Per pack
ComplyRight CMS-1500 Jumbo Healthcare Billing Envelope (No Wording), Right Window Envelope, 9" x 12-1/2", Pack of 100 (1500RS)
Item #: 901-1949161
Envelope holds up to 50 CMS-1500 unfolded claim forms.
Helps reduce processing delays.
Right-window reveals only the mailing address.
$49.99
Per each
ComplyRight Dental Claim, 1000/Pack (19001)
Item #: 901-24433071
Dental claim form
1000 forms per pack
Comes as a white sheet with black text
$56.99
Per each
ComplyRight™ Personnel Pocket File Folder, Pack of 25 (A1202)
Item #: 901-1949182
Made in the U.S.A of thick, long-lasting manila card stock
Developed by Employment Attorneys for 100% Compliance
Extended tab on folder helps easily locate employee from file cabinets
$86.99
Per each
ComplyRight™ Drug Free Workplace Job Application Stickers, 100/roll
Item #: 901-WR0259
Laminated stickers adhere to job applications and other hiring forms to discourage substance abusers from applying at your business
Clearly states that drug use will not be tolerated
Explains that testing may be required before hiring and during employment
$20.59
Per roll
ComplyRight Patient Acknowledgment of Receipt of Privacy Practices Notice (A1354)
Item #: 901-398026
Attorney approved form acknowledging patient has received a Notice of Privacy Practices from his or her healthcare provider
HIPAA compliant
Size: 8 1/2" x 11"
$67.99
Per pack
ComplyRight Employee Personnel Envelo - File (A0717)
Item #: 901-203198
25 Pack
Ample space on the outside of the file to document employee information.
Pack of 25
$88.99
Per each
ComplyRight™ New Jersey Job Application, Pack of 50 (A2179NJ)
Item #: 901-1949603TFP
Written by Employment Attorneys to ensure compliance with your state laws
Gathers the maximum amount of information and exposes “red flags” without crossing into illegal territory
Includes tip sheet with HR best practices and compliance guidelines
$62.99
Per each
ComplyRight 3-Part Employee Warning Notice, Carbonless, Pack of 50 (A2191)
Item #: 901-2548965
Includes action to be taken, as well as explains the consequences of repeat offenses
Includes ComplyRight™ tips for optimal, compliant use
Give one copy to the employee and keep the other for recordkeeping
$108.99
Per each
ComplyRight Absence Report, 3-Part, Pack of 50 (A2250)
Item #: 901-2548933
Includes space to add your own comments
Give one copy to the employee and keep the other for a permanent record of the absence
Features ComplyRight™ tips for optimal, compliant use
$106.99
Per each