TAX FORMS PRINTING, INC. ComplyRight UB04LC UB04 Hospital Claim Laser Cut Forms, 1-Part, Box Of 2,500
TAX FORMS PRINTING, INC. ComplyRight UB04LC UB04 Hospital Claim Laser Cut Forms, 1-Part, Box Of 2,500
TAX FORMS PRINTING, INC. ComplyRight UB04LC UB04 Hospital Claim Laser Cut Forms, 1-Part, Box Of 2,500
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ComplyRight

TAX FORMS PRINTING, INC. ComplyRight UB04LC UB04 Hospital Claim Laser Cut Forms, 1-Part, Box Of 2,500

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Required for healthcare providers to bill a patients insurance company for reimbursement of medical claims Forms must adhere to strict printing standards that …
SKU:
UB04LC
UPC:
094922030214
Condition:
New
Weight:
27.25 LBS
Minimum Purchase:
1 unit
Unit of Measure:
CA
QPU:
2500
Country of Origin:
US
UNSPSC Code:
14111806
UNSPSC Commodity:
Business forms or questionnaires
DEPT:
DATED AND FORMS
CLASS:
FORMS / BUSINESS FORMS
Color (Ink):
Black
sheet size:
Letter (8-1/2" x 11")
printer compatibility:
Inkjet Printer; Laser Printer
double sided:
No
claim type:
Medical
sensor bars:
No
number of parts:
1
acid free:
Yes
Product Line:
Hospital Claim Forms
binding type:
Cut-Flush
quantity:
2500
Eco Label Standard:
SFI Certified Fiber Sourcing
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Product Details  
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.

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