UB04 Hospital Insurance Claim Form 8 1/2 x 11 2,500 Forms
Asin: B005D9I4R4 | Model: TOP59870R | PartNumber: TOP59870R | Ean: 0031111224856 | UPC: 031111224856
As an Amazon Associate we earn a fee from qualifying purchases when you follow a link to Amazon from this page. We rank the products, but the links to Amazon are promotional.American Medical Association (Ama) Approved Format..
Ocr Ink For Scanning..
Features
- Printed to Government Printing Office standards.
- OCR ink for scanning.
- American Medical Association (AMA) approved format.
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Brand: Tops | Manufacturer: Tops Business Forms Products
Dimensions: 10.25 x 12.00 x 9.25 Inches | Weight: 26.00 Pounds
See On Amazon Similar To UB04 Hospital Insurance Claim Form
#1
HCFA IF040 Model 1450 UB04 Claim Form, Laser Cut, White/Red, Pack of 2500
Asin: B00PCCTETO | Model: IF040 | PartNumber: IF040 | Ean: 0687225254625 | UPC: 687225254625
Package Weight : 32.0 Pounds.
Package Dimensions:11.0" (L) X 6.0" (W) X 2.0" (H).
Package Dimensions : 11.0 L X 2.0 H X 6.0 W (Inches).
Features
- Printed in "Drop-put" red ink
- Package Dimensions : 11.0 L x 2.0 H x 6.0 W (inches)
- Package Weight : 32.0 pounds
- Package dimensions:11.0 (L) x 6.0 (W) x 2.0 (H)
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Brand: HCFA | Manufacturer: PDC Healthcare
See On Amazon #2
Paris Business Products 05108 UB04 Insurance Claim Form, 8 1/2 x 11, 2500 Forms
Asin: B0088KDAQU | Model: PRB05108 | PartNumber: PRB05108 | Ean: 0640206352161 | UPC: 640206352161
Formerly Known As Hcfa-1500 Forms..
Expedite Medicare, Medicaid Or Private Insurance Claims Processing. Forms Meet All Federal Regulations..
Features
- Sold as 2500/CT.
- Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations.
- Formerly known as HCFA-1500 forms.
- See more on Amazon...
Brand: Paris Business | Manufacturer: PARIS BUSINESS PRODUCTS
Dimensions: 10.00 x 11.50 x 9.00 Inches | Weight: 27.00 pounds
See On Amazon #3
UB-04 (CMS-1450) Health Hospital Insurance Claim Form, Laser 8-1/2" x 11" - Pack of 100 Forms
Asin: B09HR6ZD58 | Ean: 0604286318387 | UPC: 604286318387
24-Lb, 8.5 X 11-Inch (Letter Size).
100% Compliant With Approved Update To Hcfa / Cms 1450 Health Claim Form.
Laser / Inkjet Format.
Features
- UB-04 (CMS-1450) Health Insurance Claim Form
- Laser / Inkjet Format
- 24-lb, 8.5 x 11-inch (Letter Size)
- 100% Compliant with Approved Update to HCFA / CMS 1450 Health Claim Form
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Brand: LINTON MAILING SUPLIES | Manufacturer: Linton Mailing Supplies
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Paris Business 05109 UB04 Insurance Claim Form, 1-Part Continuous White, 9 1/2 x 11, 2500 Forms
Asin: B00H200S7G | Model: PRB05109 | PartNumber: PRB05109 | Ean: 0090146051097, 0021112812398 | UPC: 021112812398, 090146051097
Formerly Known As Hcfa-1500 Forms..
Expedite Medicare, Medicaid Or Private Insurance Claims Processing. Forms Meet All Federal Regulations..
Features
- Sold as 2500/CT.
- Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations.
- Formerly known as HCFA-1500 forms.
- See more on Amazon...
Brand: Paris Business | Manufacturer: PARIS BUSINESS PRODUCTS
Weight: 30.00 pounds
See On Amazon #5
UB-04 (CMS 1450) Health Insurance Claim Form, 500 Count (2 Pack)
Asin: B07MDM8G56 | Ean: 0736173783852 | UPC: 736173783852
Manufacturer: DiscountTaxForms
See On Amazon #6
500 CMS-1500 Claim Forms - Current HCFA 02/2012 Version Health Insurance Claim Forms for Medical Facilities and Hospitals, Compatible w/Laser and Inkjet Printers - 500 Sheets - 8.5'' x 11
Asin: B0B1128GKJ
Compliant With All Government Standards: Each Ub04 Claim Form Has Accurate Content And Adheres To Strict Government Standards Developed By Hipaa In Conjunction With Cms Centers For Medicare And Medicaid Services, Nubc, Nucc, Health And Human Services Agency, And American Hospital Association..
Latest Approved Version Forms: Cms/Hcfa 1500 Claim Forms (02/2012 Version) Are The Currently Approved Forms That Replaced (Version 08/05) Cms-1500 Forms; Required For Health Care Providers To Bill A Patient's Insurance Company For Reimbursement Of Medical Claims..
Simply Your Compensation Process With Our 2012 Approved Cms-1500 Health Insurance Claim Forms. 500 Sheets, Proudly Made In The Usa. Widely Accepted By Hospitals, Nursing Facilities, And Other In-Patient Providers Since 2014..
All Printed Fields, Boxes, And Layout Will Perfectly Align With The Correct Boxes For Easy Printing With Billing Software. No Need To Change Settings When Using These High-Quality Hcfa 1500 Claim Forms! Printed On Red Ink For Greater Scanning Accuracy..
Features
- SUPERIOR QUALITY: Our CMS-1500 insurance claim forms are manufactured and printed in the USA by US government certified printers on bright white Thick 20 LB paper; compatible with Laser and Inkjet printers. Printed in red ink.
- All printed fields, boxes, and layout will perfectly align with the correct boxes for easy printing with billing software. No need to change settings when using these high-quality HCFA 1500 claim forms! Printed on red ink for greater scanning accuracy.
- COMPLIANT WITH ALL GOVERNMENT STANDARDS: Each UB04 Claim Form has accurate content and adheres to strict government standards developed by HIPAA in conjunction with CMS Centers for Medicare and Medicaid Services, NUBC, NUCC, Health and Human Services Agency, and American Hospital Association.
- SIMPLY YOUR COMPENSATION PROCESS with our 2012 approved CMS-1500 Health Insurance Claim Forms. 500 sheets, proudly made in the USA. Widely accepted by hospitals, nursing facilities, and other in-patient providers since 2014.
- LATEST APPROVED VERSION FORMS: CMS/HCFA 1500 claim forms (02/2012 version) are the currently approved forms that replaced (version 08/05) CMS-1500 Forms; required for health care providers to bill a patient's insurance company for reimbursement of medical claims.
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Brand: Compuchecks | Manufacturer: Compuchecks
See On Amazon #7
UB-04 Hospital Claim Form 1-Part Continuous (2,500/case)
Asin: B004GBRTSA
Brand: The Filing Supplies Shop | Manufacturer: TFP Data Systems
Dimensions: 12.00 x 12.00 x 10.00 Inches | Weight: 25.00 pounds
See On Amazon #8
TOPS 59870R UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms
Asin: B003057EJ2
Form Size: 8.5 X 11.
Single Sheets.
Brand: Tops | Manufacturer: TOPS BUSINESS FORMS
Weight: 0.00 pounds
See On Amazon #9
Adams Health Insurance Claim Form, 2-Part, 8 1/2" x 11", 100 Sets
Asin: B0CBN8631P | Ean: 0087958150001 | UPC: 087958150001
Compatible With Laser Printers..
Sfi Certified..
Forms Are Printed On White Paper With Red Ink..
Form For Submitting Your Federal Health Insurance Claims..
Features
- Easy-to-read forms make it easy to submit your claims
- Form for submitting your Federal health insurance claims.
- Compatible with laser printers.
- Forms are printed on white paper with red ink.
- SFI certified.
- See more on Amazon...
Brand: Adams | Manufacturer: CARDINAL BRANDS, INC
Dimensions: 0.80 x 11.13 x 9.60 Inches | Weight: 2.05 pounds
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