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Blue Summit Supplies UB04 Claim Forms, CMS 1450, 8.5" x 11"
Blue Summit Supplies UB04 Claim Forms, CMS 1450, 8.5" x 11"
Description
UB-04 (CMS 1450) claim forms in red ink, designed for hospitals, nursing facilities, and other in-patient providers to easily get reimbursed by insurance companies. These forms are 100% compliant with HIPAA and manufactured in the USA using 20 lb paper that meets all NUBC standards, ensuring they feed reliably through laser and inkjet printers. Printed fields align with UB 04 claim form boxes, making them compatible with billing software and templates.
Item Details
Seller
Nellis Auction
Pickup Location
4031 Market Center Dr Suite 303
North Las Vegas, NV, 89030
Quality
Estimated Retail Price
$28.43
Buyers Premium
15%
Inventory Number
1077623438
Additional Details from the Manufacturer
This item information is coming from the manufacturer. Some of the details may vary from the Nellis Auction listing. Please check the Quality Rating and Notes for information specific to this listing
brand
Blue Summit Suppliescolor
red inkdimensions
Item: 11.5 × 8.7 × 0.1 in · Package: 5.20 lbweight
0.50 lbsMore features
- 500 forms per pack
- UB-04 (CMS 1450) compliant
- 8.5" x 11" size
- Printed in red ink
- 20 lb paper
- Manufactured in the USA
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