Now available for the Mac, a new version of our program. Requirements- Microsoft Office / Word 98 for the Mac, or above and running OS 7.5 or above. Cost is $58.50 with customization included for the Individual Version. $106.50 for the Group Version. All programs purchased for the Mac are delivered as a download from the web.
EASY HCFA 1500 presents you with a series of on-screen fields that you move through by using the TAB key. Each field corresponds to a location on the HCFA 1500 form. You can type in your text or pick the text you want from a menu list that drops down for you. On screen prompts advise you of the appropriate content for each area. When you have completed the data entry for a patient/client, save it with any name you like and then print it. When you next do a claim for that patient, simply bring up the form data you entered previously, change the dates of service and amounts (or anything else) and print onto a blank HCFA 1500 form. This copy too can be saved to disk. EASY HCFA 1500 was initially designed for the mental health service provider, but adapts readily to most other professions. EASY HCFA 1500 works as an add-in to Microsoft Word. It has no effect on the speed with which Word operates. It requires very little disk space (approx. one fifth of a megabyte) or memory. Entries are printed on blank HCFA 1500 forms that you supply and feed through your printer.
EASY HCFA 1500 works as an add-in to Microsoft Word. It has no effect on the speed with which Word operates. It requires very little disk space (approx. one fifth of a megabyte) or memory. Entries are printed on blank HCFA 1500 forms that you supply and feed through your printer.
Please complete the Ordering Form below
Profession: Psychologist Physician Psychiatrist Social Worker Licensed Mental Health Counselor Speech Pathologist Psychiatric Nurse Pharmacy Surgical Assistant Physical Therapist Occupational Therapist Home Health Care Provider Medical Supply Company Billing or Claims Service Other
Your email Address
Area Code and Phone
Street Address (to ship EASY HCFA 1500 to)
Program To Be Used By:
(this item MUST be completed) (1)- Individual Clinical Practitioner (2)- Small Group Clinical Practice (3 or less) (3)- Large Group, Billing/Claims Service, Pharmacy, Govt. Agency, Home Health or Day Care, Medical Supply co. Fire/Ambulance Services, Nursing Home, Hospital, Clinic, etc.
Customizing at no additional charge
Your Title and License no. (BOX 31)
Supplier's Billing Name, Address, Zip (BOX 33)
Supplier's Phone number for BOX 33
Your employer ID or Your social security number
Provider Numbers (BOX 33) for drop down menu - list all nos. you use - most frequent first.
Any additional issues or requirements Note that box 24D, the procedure codes, is always set up as a fill-in
Where did you learn about our program? Colleague Internet Search Engine Printed Advertisement Other please specify search engine
EASY HCFA 1500 for the Mac** = $58.50
EASY HCFA 1500 Group Version for the Mac** = $106.50
** Price includes a really easy delivery via download from our web site. ** You will be notified via email when your program has been completed and is available to you for download. That email will include easy download instructions.
Checks must be made payable to K.L. Laytin, PhD
and mailed to:
Because of the great response to EASY HCFA 1500 Form Filler, please allow 10-14 days after we receive payment for your order to be shipped. Please remember to send three unfolded original blank forms
If you are also ordering claim forms or envelopes
Tell us the Product Numbers and the no. of cases you are ordering; Additional Product Numbers and the no. of cases you are ordering; Total cost of the forms including shipping and handling Total amount you have enclosed
SPECIAL OFFER Order the Mac version of EASY HCFA 1500 ($58.50 or $106.50) and get 500 highest quality laser cut bar coded HCFA 1500 forms for only $20.00 with only $2.50 shipping charges for the forms ! Your program will be aligned to your new forms.
That's the Individual Custom Version for the Mac plus 500 forms for only $78.50 or the Group Version for the Mac plus 500 forms for only $126.50
plus only $2.50 UPS shipping for forms.
All Checks must be made payable to K.L. Laytin, PhD
Because of the great response to EASY HCFA 1500 Form Filler, please allow 10-14 days after we receive payment for your software to be shipped. Claim forms ship faster Please remember to send three unfolded original blank forms if you are ordering our software UNLESS you are buying our laser cut bar code forms.
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