Insurance Claim Forms
Blue Summit Supplies UB-04 CMS-1450 Claim Forms
$28.99
Brand: Blue Summit Supplies
Color: red ink
Size: 8.5 x 11 in
Features
- Hospitals, nursing facilities, and other in-patient providers can easily get reimbursed by insurance companies with UB-04 forms (CMS1450) that are 100% compliant with HIPAA with all correct content, red ink, and 1 part printing style (OMB-0938-0997)
- All printed fields will align with the correct boxes of your UB 04 claim forms when using your templates or billing software with our consistently high quality medical forms that are manufactured in the USA
- Our UB-04 (CMS 1450) forms are manufactured using 20 lb paper that meets all NUBC standards and easily feeds through both laser and inkjet printers without jamming
- Our UB-04 (CMS-1450) 100% compliant with HIPAA Act with all forms printed in the USA by US government certified printers
- Institutional providers can use a paper copy of the UBO4 claims form for facility and ancillary paper billing by medical and mental health care facilities
Details
Blue Summit Supplies UB-04 (CMS-1450) claim forms are intended for institutional providers, including hospitals, nursing facilities, and other inpatient care facilities. The forms use red ink, a 1-part format, and are designed for laser and inkjet printers, with content associated with OMB-0938-0997.
UPC: 810007060798