UB-04 Hospital Claim Form Laser-Cut Sheet (1,000/case)


UB-04 Hospital Claim Form Laser-Cut Sheet (1,000/case) by The Filing Supplies Shop at Student Help Forum. MPN: UB04LC1. Hurry! Limited time offer. Offer valid only while supplies last. UBO4 Medical claim forms have replaced the UB92 forms and are used by hospitals, clinics, laser surgery centers, and ambulatory surgery centers to bill medical insurance claims to the insurance carriers.UB04 / CMS 1450 Medical Claim Forms, 500 Single Sheets. These are the latest UB04 claim forms (also called CMS 1450 and formerly the UB92 form). This is the latest/newest form that accommodates reporting of the National Provider Identifier (NPI) number. Meets all Government Standards.


UB-04 Hospital Claim Form Laser-Cut Sheet (1,000/case) by The Filing Supplies Shop
4.9 out of 5 stars with 30 reviews
Condition: New
Availability: In Stock
$31.96


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Product Description & Reviews

UBO4 Medical claim forms have replaced the UB92 forms and are used by hospitals, clinics, laser surgery centers, and ambulatory surgery centers to bill medical insurance claims to the insurance carriers.

Features & Highlights

  • UB04 / CMS 1450 Medical Claim Forms, 500 Single Sheets
  • These are the latest UB04 claim forms (also called CMS 1450 and formerly the UB92 form)
  • This is the latest/newest form that accommodates reporting of the National Provider Identifier (NPI) number
  • Meets all Government Standards

Additional Information

Brand:
The Filing Supplies Shop
Manufacturer:
TFP Data Systems
Category:
Insurance Claim Forms
Color:
White
MPN:
UB04LC1
Part Number:
UB04LC1
Publisher:
TFP Data Systems
Binding:
Office Product
Item Weight:
10 pounds
Package Weight:
10 pounds

 


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