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UB04 Hospital Claim Laser Cut Forms, 1-Part, Box Of 2,500 Item # 799126
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Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims
- Forms must adhere to strict printing standards that govern the layout, paper and ink.
- Each form must have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA). Developed in conjunction with all the governing agencies, including the National Uniform Claim Committee (NUCC), the National Uniform Billing Committee (NUBC), the CMS Centers for Medicare and Medicaid Services, the Health and Human Services Agency, and the American Hospital Association.
- Corresponding envelopes are sold separately.
|eco-label/standard||SFI Fiber Sourcing|
|machine compatibility||inkjet printer; laser printer|
|manufacturer||TFP Data Systems|
|number of parts||1|
UB04 Hospital Claim Laser Cut Forms, 1-Part, Box Of 2,500 is rated out of 5 by 3.
Rated 5 out of 5 by Jennifer from Good quality The product has a very good quality. We use it for our medical billing.
Date published: 2018-11-27
Rated 5 out of 5 by LindaH from Perfect! These are standard forms, so not much to say about them. They are quality, though.
Date published: 2018-07-25
Rated 5 out of 5 by Nicole from Fast Delivery!!!! I was so happy when these forms arrived well before their expected delivery date. Exactly what I needed in a hurry and that's what our company needed! Thank you.
Date published: 2016-07-19