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UB-04 Hospital Claim Form Laser-Cut Sheet (2,500/case)
Item Number: UB04LC
3 reviews
Pricing:
| Price per Case of 2500 | 2+ Cases | 5+ Cases | 10+ Cases | 20+ Cases |
| $96.44 | $92.75 | $90.16 | $88.11 | $77.84 |
| Volume Savings | 3.8% | 6.5% | 8.6% | 19.3% |
| Need 30+ Cases? Click here for Pricing | ||||
Customers also Purchased
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Description:
Make sure your medical billing procedures adhere to universal standards with these UB-04 Hospital Claim Forms from The Supplies Shops. The UB-04 is the uniform medical billing form that is standardized across the entire healthcare industry. It ensures that any inpatient or outpatient claims are billed correctly, which is why it’s so important to have high-quality UB-04s in stock in your office. Printed with red “dropout” ink, this form is a must-have for any healthcare setting and will deliver the excellent quality you want for your patient records.
- UB-04 Hospital Claim Form Laser-Cut Sheets
- Printed in OCR red "dropout" ink
- White 20# Environmental Paper Alliance (EPA) Recycled Paper
- 2,500/case
Specifications:
| ASIN: | B004GBTNXO | Brand: | ComplyRight | |
|---|---|---|---|---|
| Claim Type: | Hospital | Color: | White | |
| Condition: | New | Currency: | USD | |
| Form Number: | UB-04 | Holes Punched: | No | |
| Pre-Printed: | Yes | Package Weight: | 25.00 LB | |
| Material: | Paper | Country of Origin: | USA | |
| Manufacturer Part Number: | UB04LC | Number of Items: | 2500 | |
| Numbered: | No | Paper Size: | Letter | |
| Ships in: | 4 to 5 Business Days (Plus time in transit) | Size: | in | |
| Style: | Laser Cut Sheet |
| ASIN: | B004GBTNXO |
|---|---|
| Brand: | ComplyRight |
| Claim Type: | Hospital |
| Color: | White |
| Condition: | New |
| Currency: | USD |
| Form Number: | UB-04 |
| Holes Punched: | No |
| Pre-Printed: | Yes |
| Package Weight: | 25.00 LB |
| Material: | Paper |
| Country of Origin: | USA |
| Manufacturer Part Number: | UB04LC |
| Number of Items: | 2500 |
| Numbered: | No |
| Paper Size: | Letter |
| Ships in: | 4 to 5 Business Days (Plus time in transit) |
| Size: | in |
| Style: | Laser Cut Sheet |
Reviews:
5
Out of 5.0
Overall Rating
100%
of customers that buy this product give
it a 4 or 5-Star rating.
June 16, 2023 by Melissa S (IL, united states)
“great price and fast shipment”
December 12, 2019 by Frank M
“Everything is great”
July 18, 2018 by Rosa D (CA, United States)
“EASY AND QUICK”
