ComplyRight UB04 Hospital Claim Laser Cut Forms, 1-Part, Box Of 2, 500 MPN:UB04LC
SKU
312-799126
ComplyRight UB04 Hospital Claim Laser Cut Forms, 1-Part, Box Of 2, 500 MPN:UB04LC
Streamline your medical billing process with ComplyRight UB04 Hospital Claim Laser Cut Forms. These 1-part forms are specifically designed for healthcare providers to bill patients' insurance companies for reimbursement. Developed in conjunction with governing agencies, they adhere to strict printing standards and conform to HIPAA regulations. Each form features accurate content and must be printed on acid-free paper. With a total quantity of 2500, these forms are ideal for large healthcare facilities or practices with high volume billing needs. They are compatible with inkjet and laser printers, making them a convenient and efficient solution for medical billing.
Top product features:
- Acid Free: Yes
- Cut-Flush Binding Type
- Laser Cut Forms with Accurate Content and Conformity to HIPAA
Top product applications:
- Medical Billing
- Health Insurance Claims
- Healthcare Provider Reimbursement
Required for healthcare providers to bill a patients 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.
Features
- Acid Free: Yes
- Binding Type: Cut-Flush
- Brand Name: ComplyRight
- Claim Type: Medical
- Color (Ink): Black
- Double Sided: No
- Eco Label Standard: SFI Certified Fiber Sourcing
- Manufacturer: TAX FORMS PRINTING, INC.
- Number of Parts: True
- Printer Compatibility: Inkjet Printer; Laser Printer
- Product Line: Hospital Claim Forms
- Quantity: 2500
- Sensor Bars: No
- Sheet Size: Letter (8-1/2" x 11")
- Total Quantity: 2500 Medical Claim Forms
Additional Information
- Country of Origin: US
- UNSPSC Code: 14111806
- UNSPSC Commodity: Business forms or questionnaires
- Green: No
- Recycled Content: FALSE
- Hazardous: No
- Prop 65: No
- MSDS URL: nan
- Package Length: 11.25
- Package Width: 8.75
- Package Height: 10.50
- Package Weight: 27.25
Product info last updated on January 7, 2025 8:40am UTC
Category: Business Forms and Bookkeeping