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UPC 790757378148

Barcode for ComplyRight UB-04 Hospital Claim Form Laser Cut Insurance Claim Form Pack of 2500

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Marketplace Price Updated
$84.55 07/09/2024 00:21:08 GMT - Details

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Attributes

Attribute Value
Binding Office Product
Brand ComplyRight
EAN 0790757378148
Manufacturer ComplyRight
MPN UB04LCAMZ
UPC 790757378148

Description

  1. HEALTH INSURANCE CLAIM FORM: Reduce Billing Errors with UB-04 Health Insurance Claim Forms for use by hospitals and institutions
  2. COMPLIANT: 100 compliant with HIPAA regulations
  3. 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
  4. PACKAGING/DIMENSIONS: Laset Cut Sheet. 8-1/2" x 11". Pack of 500.
  5. COMPLYRIGHT: At ComplyRight, our mission is to free employers from the burden of tracking and complying with the complex web of federal, state, and local employment laws. ComplyRight is the market leader in government compliant products such as tax forms, tax software, HR products and services, labor law solutions, and health insurance claim forms.

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