500 UB04 Claim Forms, CMS 1450 Health Insurance Claim Forms for Hospitals and Medical Facilities, Standard Uniform Billing Form for Major Insurance Providers Including Medicare, 500 Pack, 8.5 x 11 in

$33.95 $47.95

In Stock

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

Your package will typically take 2-4 days to arrive at your shipping address. Please view our shipping policy here for full details.

We accept returns within 14 days. Please view our return policy here for full details.