NC Doctors Day

EGP UB-04 Hospital Claim Form


EGP UB-04 Hospital Claim Form by EGPChecks at NC Doctors Day. MPN: UB04CF. Hurry! Limited time offer. Offer valid only while supplies last. Item Number UB04CF The UB04 Hospital Claim Form contains a number of improvements and enhancements that include better alignment with the electronic


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EGP UB-04 Hospital Claim Form by EGPChecks (Image #1)
Brand: EGPChecks
4.7 out of 5 stars with 38 reviews
Condition: New
Availability: In Stock
$34.99


Quantity:  

 



Product Description & Reviews

Item Number UB04CF The UB04 Hospital Claim Form contains a number of improvements and enhancements that include better alignment with the electronic HIPAA ASC X12N 837-Institutional Transaction Standard The UB04 paper billing form will be able to accommodate the reporting of the National Provider Identifier (NPI) Number. The NPI will be a single provider identifier, replacing the different provider identifiers healthcare systems currently use for each health plan with which you do business. The NPI Identifier, which implements a requirement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), must be used by all HIPAA covered entities, which are health plans, healthcare clearinghouses, and healthcare providers Pricing is for 1000 forms - Shipping is included

Features & Highlights

  • Pricing is for 1000 claim forms - Shipping is included
  • Product is a single sheet for laser and dot matrix printers

Additional Information

Brand:
EGPChecks
Manufacturer:
EGP
Category:
Medical & Insurance Forms
Model:
UB04CF
MPN:
UB04CF
Part Number:
UB04CF
Publisher:
EGP
Binding:
Office Product

 


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