UB-04 (CMS 1450) Health Insurance Claim Forms for Hospitals and Medical Facilities, Standard Uniform Billing Form for Major Insurance Providers Including Medicare, 500 Pack, 8.5 x 11 Inches

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SKU:
JA403723
UPC:
810007060798
Condition:
New
Availability:
Free Shipping from the USA. Estimated 2-4 days delivery.
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UB 04 (CMS-1450) Forms Compliant with All Government Standards

Our UB04 forms are printed in the USA by US-government authorized printers. These forms are completely compliant with NUBC format and coding requirements:

  • All fields, boxes, and Layout consistently line up perfectly for easy printing with billing
  • software will no need to change settings
  • Printed in red ink per standards
  • 1 part forms that are laser and inkjet compatible
  • All forms adhere to strict government standards developed by HIPAA in accordance with American Hospital Association, CMS centers for Medicare and Medicaid Services, NUCC, and NUBC

USA-Made Thick 20lb Paper Makes for Easy, Jam-Resistant Printing

  • Thick 20 lb paper meets all standard requirements for UB-04 forms and allows for easily feeding through laser or inkjet printers without worrying about jamming
  • Consistent quality prevents issues with content information misalignment to allow for quick reimbursements

100% Money Back Guarantee

We stand behind our products completely. We understand that sometimes buying physical products can be difficult if you cannot physically see what you are buying; however, if our product is not exactly what you are looking for or does not meet your expectations, then send it back anytime for a 100% refund.