Price Details
Excluding Shipping & Custom charges ( Shipping and custom charges will be calculated on checkout )
*All items will import from US
Imported from USA store
QTY:
Ubuy works hard to protect your security and privacy. Our advanced payment security system ensures confidentiality by encrypting your information during transmission using AES (Advanced Encryption Standards) and SSL (Secure Socket Layer) protocols. Your payment details are 100% secure as we do not share your payment details with third party sellers.
Get reimbursed easily and 100% compliant with HIPAA using our UB-04 claim forms for hospitals and medical facilities.
| Paper Size | Letter |
| Sheet Count | 500 |
| Paper Weight | 20 |
| Item Dimensions L x W | 11"L x 8.5"W (27.9 cm) |
| Color | red ink |
| Brand Name | Blue Summit Supplies |
| UPC | 810007060798 |
| Manufacturer | Blue Summit Supplies |
| Brand | Blue Summit Supplies |
| Sheet Size | Letter |
Ideal for hospitals needing to process insurance claims efficiently with standardized forms for major insurance providers.
Perfect for clinics and medical offices that require uniform billing forms for simplified insurance claim submissions.
Useful for healthcare billing departments wanting to maintain accurate records and streamline claim processing workflows.
Small medical practices with minimal claim submissions may find 500 forms excessive and unnecessary for their needs.
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
These claim forms are a great buy for their price point. While they do not align perfectly with the forms that some offices may typically use, the slight difference has not been significant enough to result in denied claims. In fact, some customers have found that they actually align better than their previous forms. The paper quality is good and the red ink is not too dark. The smaller package size is also a plus for those who do not need a large quantity of forms. However, users may need to adjust their print boxes on their computer to ensure proper alignment with their program margins.
Share your thoughts with other customers
“Excellent quality and original too,when ubuy send original things I will appreciate that ,I very satisfied thank you”
“The order and delivery progress was communicated very well. Package arrived within the estimated time. Products arrived as expected in good condition.”
“Good supply of products. Safe payment methods, and shipment worldwide! Genuine products.”
“Was my first time buying a product from Ubuy, but I found it so helpful. This is reliable. Gonna place a new order!”
“Ubuy is a great online platform to buy stuff. Reliable, fast delivery time and great value for money. I've been using Ubuy online shopping platform for three years now and will continue to do so.”
Order now and get it around Friday, August 28
This item is not restrict in my country.(Please click on above link if this item is not restrict in your country, So our team will review and allow.)
QTY:
PCI DSS compliant and ISO 27001:2022 certified, with encrypted payments and full buyer protection on every order.
Experience worry-free shopping with 100% original products, PCI DSS-compliant payment security, ISO 27001-certified data protection, the fastest cross-border delivery, free returns *, and secure packaging on every order.
