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UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms

59870R    MLS# 99535416

$447.72 /CT $559.65 /CT

UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms

Smooth and accurate hospital billing is made easy with the UB04 Hospital Insurance Claim Form, designed for laser printers. Each billing form page measures 8.5 x 11 inches. The bill meets Government Printing Office and CMS standards, ensuring responsible compliance in medical claim submissions. Comes in a package of 2,500 forms, providing the ideal bulk option for busy healthcare facilities, from hospitals to clinics. The UB04 form is printed on durable paper for seamless processing and easy readability. Providers can easily organize patient records or insurance claims. Simplify administrative tasks and maintain accuracy in every claim you present with this reliable and efficient paper form.

FAQs


What is a UB 04 claim form and why is it important for an institutional provider?


The UB 04 claim form was developed by the National Uniform Billing Committee (NUBC) for institutional providers such as hospitals and clinics. The standardized forms allow them to submit insurance claims and ensure that compliance with the Centres for Medicare & Medicaid (CMS) is maintained across healthcare billing.


How many UB 04 claim forms are provided in a pack?


There are a total of 2500 forms included in each pack. This quantity is perfect for healthcare facilities that need to regularly submit insurance claims like hospitals and clinics. By purchasing these forms in bulk, facilities can streamline their administrative processes and make sure they can manage a high volume of claims.


How to get UB 04 form from hospital?


You can get a UB04 Hospital Insurance Claim Form from the hospital's office or billing department. Various medical facilities provide the forms to patients for insurance claims. If you are an institutional provider, you can order these forms online to ensure you've always got enough in stock.


Which printers are UB 04 claim forms compatible with?


The UB04 Hospital Insurance Claim Form is compatible with laser printers. The forms work with most standard office laser printers and ensure high-quality printing that is in line with the Government Printing Office Standards. They are made from durable paper that can handle precise laser printing and avoid smudges that can often occur with inkjet printers. It's recommended to use printers that support legal-size paper (8.5 x 11 inches).


What is the national provider identifier on the UB 04 form?


The National Provider Identifier (NPI) is a 10-digit identifier on the UB04 Hospital Insurance Claim Form. It is assigned to healthcare providers by the Centers for Medicare & Medicaid (CMS). The identifier can be used to track healthcare providers and ensure that their claims are accurate and compliant. The NPI is essential when submitting medical claims to insurance carriers.

  • Printed to Government Printing Office standards.
  • OCR ink for scanning.
  • Specially designed for laser printers.
  • 2500 forms per pack.
  • American Medical Association (AMA) approved format.
Global Product TypeForms-Insurance
Form Size8.5 x 11
Forms Per Page1
Form Quantity2500
LayoutOne Form per Sheet
Printer CompatibilityLaser
Paper Stock20-lb
Paper Color(s)Red; White
Print and Ruling Color(s)Red
Pre-Consumer Recycled Content Percent0%
Post-Consumer Recycled Content Percent0%
Total Recycled Content Percent0%
Special FeaturesFor Laser Printers
Country of OriginUS
Carton Weight26
Carton Pack Quantity2500 EA
UPC025932598708
UNSPSC14111806
Height10.25 in
Width9.25 in
Length0 in
UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms
UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms
UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms
TOPS

UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms

59870R    MLS# 99535416

$447.72 /CT $559.65 /CT

  • Printed to Government Printing Office standards.
  • OCR ink for scanning.
  • Specially designed for laser printers.
  • 2500 forms per pack.
  • American Medical Association (AMA) approved format.

 
Description

Smooth and accurate hospital billing is made easy with the UB04 Hospital Insurance Claim Form, designed for laser printers. Each billing form page measures 8.5 x 11 inches. The bill meets Government Printing Office and CMS standards, ensuring responsible compliance in medical claim submissions. Comes in a package of 2,500 forms, providing the ideal bulk option for busy healthcare facilities, from hospitals to clinics. The UB04 form is printed on durable paper for seamless processing and easy readability. Providers can easily organize patient records or insurance claims. Simplify administrative tasks and maintain accuracy in every claim you present with this reliable and efficient paper form.

FAQs


What is a UB 04 claim form and why is it important for an institutional provider?


The UB 04 claim form was developed by the National Uniform Billing Committee (NUBC) for institutional providers such as hospitals and clinics. The standardized forms allow them to submit insurance claims and ensure that compliance with the Centres for Medicare & Medicaid (CMS) is maintained across healthcare billing.


How many UB 04 claim forms are provided in a pack?


There are a total of 2500 forms included in each pack. This quantity is perfect for healthcare facilities that need to regularly submit insurance claims like hospitals and clinics. By purchasing these forms in bulk, facilities can streamline their administrative processes and make sure they can manage a high volume of claims.


How to get UB 04 form from hospital?


You can get a UB04 Hospital Insurance Claim Form from the hospital's office or billing department. Various medical facilities provide the forms to patients for insurance claims. If you are an institutional provider, you can order these forms online to ensure you've always got enough in stock.


Which printers are UB 04 claim forms compatible with?


The UB04 Hospital Insurance Claim Form is compatible with laser printers. The forms work with most standard office laser printers and ensure high-quality printing that is in line with the Government Printing Office Standards. They are made from durable paper that can handle precise laser printing and avoid smudges that can often occur with inkjet printers. It's recommended to use printers that support legal-size paper (8.5 x 11 inches).


What is the national provider identifier on the UB 04 form?


The National Provider Identifier (NPI) is a 10-digit identifier on the UB04 Hospital Insurance Claim Form. It is assigned to healthcare providers by the Centers for Medicare & Medicaid (CMS). The identifier can be used to track healthcare providers and ensure that their claims are accurate and compliant. The NPI is essential when submitting medical claims to insurance carriers.

 
Product Details
Global Product TypeForms-Insurance
Form Size8.5 x 11
Forms Per Page1
Form Quantity2500
LayoutOne Form per Sheet
Printer CompatibilityLaser
Paper Stock20-lb
Paper Color(s)Red; White
Print and Ruling Color(s)Red
Pre-Consumer Recycled Content Percent0%
Post-Consumer Recycled Content Percent0%
Total Recycled Content Percent0%
Special FeaturesFor Laser Printers
Country of OriginUS
Carton Weight26
Carton Pack Quantity2500 EA
UPC025932598708
UNSPSC14111806
 
Shipping Weight & Item Dimensions
Height10.25 in
Width9.25 in
Length0 in