{"product_id":"eho-b09zk7n319","title":"ComplyRight UB-04 Hospital Claim Forms, Pack of 2,500","description":"\u003cp\u003e\u003cstrong\u003eBrand:\u003c\/strong\u003e ComplyRight\u003c\/p\u003e\u003ch4\u003eFeatures\u003c\/h4\u003e\u003cul\u003e\n\u003cli\u003eHealth Insurance Claim Form: Reduce Billing Errors with UB-04 Health Insurance Claim Forms for use by hospitals and institutions\u003c\/li\u003e\n\u003cli\u003eFederally Compliant: These UB-04 healthcare claim forms are 100% compliant with HIPAA regulations\u003c\/li\u003e\n\u003cli\u003eComplete Claim Form: Designed for hospitals to file a medical claim with the patient’s insurance carrier, Form UB-04 is printed with OCR “dropout” red ink on 20# paper. All parts printed on white carbonless stock\u003c\/li\u003e\n\u003cli\u003ePackaging\/Dimensions: Sold in a pack of 2,500 forms. Each laser cut sheet measures 8-1\/2\" x 11\"\u003c\/li\u003e\n\u003cli\u003eCompliant Healthcare Forms: ComplyRight strives to free businesses from the burden of tracking and complying with the complex web of federal, state, and local employment laws by providing clear legal documents like these UB-04 Hospital Claim forms\u003c\/li\u003e\n\u003c\/ul\u003e\u003ch4\u003eDetails\u003c\/h4\u003e\u003cp\u003eComplyRight UB-04 Hospital Claim Forms help hospitals and healthcare institutions prepare medical claims for submission to insurance carriers. The forms feature OCR “dropout” red ink, white carbonless stock, and a laser-cut sheet format, with 2,500 forms included per pack.\u003c\/p\u003e\u003cp\u003e\u003cstrong\u003eUPC:\u003c\/strong\u003e 790757378148\u003c\/p\u003e","brand":"ComplyRight","offers":[{"title":"Default Title","offer_id":44308413677655,"sku":"790757378148","price":83.95,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0084\/0450\/0531\/files\/41BlDKL3pZL._SL500_8516e5d3-347f-41bb-a9cb-558cec3e7f9f.jpg?v=1789678254","url":"https:\/\/ecohomeoffice.com\/products\/eho-b09zk7n319","provider":"Eco home office","version":"1.0","type":"link"}