Paris Business UB04 Claim Forms 2 Part Continuous White/Canary 9 1/2 x 11 1000 Forms 05110

The PrintWorks Professional two-part continuous health insurance claim form is required for all federal insurance claims and by many private healthcare organizations. This preprinted continuous form speeds up claim processing and meets all government regulations. All printed fields will align with the correct boxes when using recommended templates or billing software. The UB-04 healthcare form is used by hospitals, in-patient, and other facility providers. Healthcare providers must meet the approval guidelines under the Administrative Simplification Compliance Act (ASCA) to use the UB-04 claim form. The UB-04 form is both laser and inkjet compatible. Continuous health insurance claim form is required for all federal insurance claims and by many private healthcare organizations to speed up claim processing. Two-part form. 1000 sheets per carton. Comes in white. Dimensions: 11" x 9.5". Sold as 1000/Carton.

Sold as 1000/Carton. Continuous health insurance claim form is required for all federal insurance claims and by many private healthcare organizations to speed up claim processing. Dimensions: 11" x 9.5". Two-part form. 1000 sheets per carton. Comes in white.