Cart 2 india

Specification
Brand : ComplyRight
BulletPoint1 : HEALTH INSURANCE CLAIM FORM: Reduce Billing Errors with UB-04 Health Insurance Claim Forms for use by hospitals and institutions
BulletPoint2 : COMPLIANT: 100% compliant with HIPAA regulations
BulletPoint3 : 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
BulletPoint4 : PACKAGING/DIMENSIONS: Laset Cut Sheet. 8-1/2" x 11". Pack of 2,500.
BulletPoint5 : 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.
Color : White
ExternallyAssignedProductIdentifier1 : 0790757378155
ExternallyAssignedProductIdentifier2 : 790757378155
GpsrSafetyAttestation : 1
ItemDisplayDimensions_Height : 4.75 inches
ItemName : ComplyRight UB-04 Hospital Claim Form | Laser Cut | Insurance Claim Form | Pack of 500
ItemPackageDimensions_Height : 4.75 inches
ItemPackageDimensions_Length : 12.25 inches
ItemPackageDimensions_Width : 10.75 inches
ItemPackageQuantity : 1
ItemTypeKeyword : business-claim-forms
Manufacturer : ComplyRight
Material : Paper
ModelNumber : 4067
NumberOfItems : 1
PaperSize : 8.5-x-11-inch
PartNumber : UB04LC5AMZ
ProductDescription : Reduce Billing Errors with UB-04 Health Insurance Claim Forms for use by hospitals and institutions. 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. Laset Cut Sheet. 8-1/2" x 11". Pack of 500.
ProductSiteLaunchDate : 2022-05-04T18:09:27.219Z
Size : 8.5 x 11 inch
Style : Pack of 500 Forms
UnitCount : 300
UnspscCode : 44112000