Hospital Claim Forms
Medical-forms offers the following UB-04 Hospital Claim Forms:
Medical-Forms.com offers only the highest quality, government compliant medical claim forms. The UB04 claim form (HCFA) is used to bill a medicare fiscal intermediary and for billing of institutional charges to most Medicaid State agencies.
The new HCFA Forms – UB04 – are guaranteed to be compliant with the most recent CMS regulations. The UB04 claim form is the replacement for the ub 92 medical claim form. Even if submissions were on the UB 92 in the past, all rebilling of medical claims should use the UB04 form. The forms come printed in red optical character recognition ink on special bon paper. All in strict compliance with government printing.
Check Printing-Software compatible | Check Printing-Blank Laser Stock | Check Printing - 3 to a Page Bank Checks | Check Printing - One Write Systems | Check Printing- Blank Pressure Seal | U-Seal Self mailer | Check Micr Printers | Check Printing - Deposit Tickets | Tax Forms-W2 | Tax Forms-1099 | Form-N-Envelope | Register Forms | Blank Plastic Membership Cards | One Write Cash Receipt System | One Write Rental Receipt System | One Write-Attorney Trust | One Write-Attorney Disbursements | One Write- Gift Certificate | Report Card Envelopes | School Forms-Custom Printed | Variable Imaging & Mail Services | Warehousing and Distribution | Blank Pre-perforated Paper | Pre-inserted Billing Envelopes | UB92 Insurance Claim Forms | UB92 Claim Envelopes | CMS1500 Insurance Claim Forms | CMS 1500 Claim Envelopes | Dental Claim Forms | Dental X-Ray Envelope | New Jersey Prescription Pads | California Prescription Pads | Security Prescriptions | HIPPA Sign in with removable labels | One Write HIPAA sign in system | LaserBand Hospital Patient Wristbands | Patient Valuables Envelope | Custom Receipt Books | Narcotic Control Sheets | Lab Mount Sheets | Appointment Reminder Card | Manila File Folders | Radiology Jackets | Check Printing | Label & Form Combo | Tax Forms | Receipt Books | Blank Sheeted Member Cards | Pressure Seal Forms | CMS1500 Claim Forms | Medical Claim Forms | Dental Forms | Prescription Pads | Healthcare Forms