Get documents about "Billing Contractor Agreement
Description
Billing Contractor Agreement document sample
Document Sample
Initial Mailing
Active
Completed Active Activity (Completed
Cynthia Monthly Mailing Josh Catch-up Week of 4/25 5/6/2005) Registration Package
To Do Done QTY Item Sides March April Shows Info Package No Activity Outside Left Side Right Side Info Package Outside Left Side Right Side Total Status
Envelopes On Hand
500 Window Envelope 9X11 100 500 250 850 Need another 1000
600 0 Labels, destination address 600 1000 1600 What kind of label and how to print
2500 0 Big White Envelope 10X13 600 500 1100 Cynthia gets a better deal
? White 9X11 500 500 Not a problem, Staples
? Yellow 9X11 500 500 Not a problem, Staples
Cover Letters
600 Letter Head 1 600 600
n/a Cover Letter, Drop-Offs 1 0
n/a Cover Letter, Registration 1 500 500 Should we use letterhead?
n/a Cover Letter, Information 1 100 250 350
n/a Cover Letter, Active No Activity 500 500
600 n/a Cover Letter, Active Activity 600 600
Custom Forms
n/a Supplier Registration Sheet 1 as needed as needed as needed 0 Ready
n/a Contractor Agreement 1 as needed 0 Ready
n/a HIPAA Associate Agreement 1 as needed 0 Ready
n/a D Customer Profile 1 as needed 0 Ready
n/a 855C as needed 0 Ready
n/a 855S as needed 0 Ready
n/a NSC Billing Agreement as needed 0 Ready
n/a EDI Enrollment Form Region A as needed 0 Ready
n/a EDI Enrollment Form Region B, C, D as needed 0 Ready
n/a Assembly instructions 1 as needed 0 Ready
n/a Order form 1 as needed as needed as needed 0 Ready
Pre-Printed Forms
0 855 Instructions 500 500 Ready
4000 Ortho Kinetic Review article reprint 4 1000 100 250 500 1850 Ready
3000 0 SafeStep Folder (1500/1500 with slits) 600 500 1100 Ready
2000 1800 Top Selling Shoe Flyer 2 1000 100 500 250 500 2350 Ready
10000 9000 SafeStep Flyer 1 1000 100 250 500 1850 Ready Copies Sides
0 Condensed Price Sheet 2 100 500 250 500 1350 Ready 800 2
600 0 Complete Price Sheet 10X2 600 500 1100 Ready 1000 17
3000 100 Why SafeStep 1 1000 100 500 600 250 500 2950 Ready
4000 250 Display Stand flyer (Discontinuing) 1 1000 1000 100 100 600 50 500 3350 Ready
3000 1800 Promotional Items flyer 1 500 100 500 600 250 500 2450 Ready
2000 0 14 Things Article 2 500 500 600 500 2100 Ready
0 21 CMS Standards 1 500 500 Ready 1000 1
0 Compliant Notice 1 500 500 Ready 1000 1
0 Complaint Resolution Form 1 500 500 Ready 1000 1
0 Complaint Log 1 500 500 Ready 1000 1
600 0 Blank Order Form 1 500 600 1100 Ready 600 1
0 Fitting Instructions 2 600 500 1100 Ready
0 Information Collection Form 1 600 500 1100 Ready 1600 1
0 Show Registration Sheets 1 1000 1000 Ready Totals
Manufacturer Shoe Sheets Cynthia 24# 1100
2000 0 OrthoFeet 2 500 600 500 1600 Ready Lenny 24# 1060
2000 0 Apex Aetrex 2 500 600 500 1600 Ready
2000 0 Apex Ariya 2 500 600 500 1600 Ready
2000 0 Apex Ambulator 2 500 600 500 1600 Ready
2000 0 Apex Conform 2 500 600 500 1600 Ready
2000 0 Acor 2 500 600 500 1600 Ready
2000 0 Pedors 2 500 600 500 1600 Ready
2000 0 Soft Spots 2 500 600 500 1600 Ready
2000 0 Santuit 1 500 600 500 1600 Ready
2000 0 Brooks Athletic 2 500 600 500 1600 Ready
2000 0 Brooks Walking 2 500 600 500 1600 Ready
2000 0 Hush Puppies 2 500 600 500 1600 Ready
2000 0 New Balance 1 500 600 500 1600 Ready
2000 0 Custom Insert 2 500 600 500 1600 Ready
Richie Brace Flyers
4000 0 Richie Brace flyer master 1 100 600 250 500 1450 Ready
Total Sides Total Sheets
1600 800 600
17000 9000 10200
1000 1000
1000 1000
1000 1000
1000 1000 600
600 600 600
1600 1600
24800 16000 12000
0.0444 532.8 917.922.1081
0.0427 203.874.1727 lennylit@aol.com
Richie Brace Manufacturer Flyers - Printed 2000 each, sent 1000 to manufacturer and kept 1000 in SafeStep Office
2000 Allied East 1 Same
2000 Allied West 1 Same
2000 Eastern Podiatry Lab 1
2000 Footcare Express 1
2000 STJ East 1 Same
2000 STJ West 1 Same
2000 ComfortFit 1
2000 Fiber Foot Appliances 1
2000 KLM 1
2000 Burns International 1
2000 Solo 1
2000 Marathon 1
Non Richie Brace Sheets
2000 STS 1 Gets 2000 of the master ric
2000 Prolab 1
2000 K-Fit 1
1000 in SafeStep Office
Printed one and not the other
Not Done
Send to Cynthia
Send to Cynthia
Gets 2000 of the master richie
Send to Cynthia
Send to Cynthia
Registration package gets sent for registration.
Start-up Kit gets sent
Upon receipt of credit card
Signed check paying agreement
Special request (could be any part of or completel)
Start-up Kit
Registration Package Catalog
Item Info Package Forms Left Side Right Side In Box From Manufacturer
Envelopes
Window Envelope 9X11 Pre Printed
Big White Envelope 10X13 Pre Printed
White 9X11 Stock
Yellow 9X11 Stock
Cover Letters
Letter Head
Cover Letter, Drop-Offs
Cover Letter, Registration
Cover Letter, Information
Cover Letter, Active No Activity
Cover Letter, Active Activity
Custom Forms
Supplier Registration Sheet Print Print
Contractor Agreement Print
HIPAA Associate Agreement Print
D Customer Profile Print
855C Print
855S Print
NSC Billing Agreement Print
EDI Enrollment Form Region A Print
EDI Enrollment Form Region B, C, D Print
Assembly instructions Print
Order form Print
Pre-Printed Forms
855 Instructions X
Ortho Kinetic Review article reprint x
SafeStep Folder (1500/1500 with slits) X
Top Selling Shoe Flyer x
SafeStep Flyer x
Condensed Price Sheet x
Complete Price Sheet X
Why SafeStep x
Display Stand flyer (Discontinuing) x X
Promotional Items flyer x X
14 Things Article X
21 CMS Standards X
Compliant Notice X
Complaint Resolution Form X
Complaint Log X
Blank Order Form X
Fitting Instructions X
Information Collection Form X
Show Registration Sheets
Manufacturer Shoe Sheets
OrthoFeet X
Apex Aetrex X
Apex Ariya X
Apex Ambulator X
Apex Conform X
Acor X
Pedors X
Soft Spots X
Santuit X
Brooks Athletic X
Brooks Walking X
Hush Puppies X
New Balance X
Custom Insert X
Richie Brace Flyers
Richie Brace flyer master x X
Samples
Acor Comfort Street; Walking Shoe; Black (Sample with diabetic insert) - 1203 X
Apex Ambulator (Sample with diabetic insert and letter) - 1260 - SS1297 X
OrthoFeet 3 Sample Shoes X
OrthoFeet Molding Foam X
OrthoFeet Stick X
Pedors Sample Shoe X
Pedors Ritz Measuring Stick, Complementary X
Santuit BrightStep Designer in Black (Sample with diabetic insert) - 100BK X
K-Fit Custom Molded Total Contact Multidensity Inserts (under 200 pounds) ? ?
K-Fit Custom Molded Total Contact Multidensity Inserts (over 200 pounds) ? ?
