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Simplified Claim Form Signature Release Labels. Signature release labels can easily be applied to patient insurance forms to avoid claims processing delays. Compatibility: For use with Simplified Claim Forms - Item #4049. Handy! Get a patient signature on self-adhesive labels, then affix to insu... - Simplified Claim Form Signature Release Labels. | | $53.19
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Single Window Confidential Claim Form SS Env. Look more professional! Envelopes printed with your name and address save you time. Give your business a professional, established look! Quality paper stock! 24# white stock. Time saver! Self-seal saves time and makes mailing easier. Keep contents ... - Single Window Confidential Claim Form SS Env. | | $62.99
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HCFA Claim Form Envelope, Self Seal. Self-sealing, confidential, window envelopes for mailing your medical claim forms. Accepts HCFA Claim Forms. Our confidential envelopes accept standard HCFA claim forms with a right window for addresses. Content stays private. Keep contents confide... - HCFA Claim Form Envelope, Self Seal. | | $54.59
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CMS-1500 Two-Part Carbonless Insurance Claim Form 0212. Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Convenient and easy to use! 2-part carbonless forms on 2... - CMS-1500 Two-Part Carbonless Insurance Claim Form 0212. | | $57.39
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CMS-1500 Two-Part Continuous Insurance Claim Form 0212. Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your continuous printer. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Convenient and easy to use! ... - CMS-1500 Two-Part Continuous Insurance Claim Form 0212. | | $248.49
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CMS-1500 Laser Sheet Insurance Claim Form, Version 02/12. Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your laser printer. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Convenient and easy to use! 1-par... - CMS-1500 Laser Sheet Insurance Claim Form, Version 02/12. | | $60.89
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CMS-1500 Laser Pad Insurance Claim Form, Version 0212. Speed third-party billing and manage your cash flow with this AMA and CMS approved claim formin a convenient laser pad format. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Convenient and easy to u... - CMS-1500 Laser Pad Insurance Claim Form, Version 0212. | | $81.89
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CMS-1500 One-Part Continuous Insurance Claim Form 0212. Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your continuous printer. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Convenient and easy to use! ... - CMS-1500 One-Part Continuous Insurance Claim Form 0212. | | $159.59
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Dental Continuation Form. Keep a running record of each patients' visits with our two-sided Dental Continuation forms. Formatted for multiple examinations, they attach to the original patient exam records. Two-side form formatted for continuing patient records after initial... - Dental Continuation Form. | | $53.19
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