Home > NeedInsuranceForms > UB-04 Hospital Insurance Claim Forms >   2-Part Continuous UB-04 Hospital Insurance Claim Forms
	Case of 1000 forms $39.95 Availability: Usually Ships in 1 to 2 Business Days Product Code: UB042 Quantity*: 1000 Forms

Description   The UB-04 contains a number of improvements and enhancements that include better alignment with the electronic HIPAA ASC X12N 837-Institutional Transaction Standard. The New UB-04 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.   Compatible with: The new UB-04 Form will be will be required starting May 23, 2007 Easily file a medical claim with a patient's insurance carrier File a hard copy of each claim with patient records in case you need to resubmit a claim

Accessories for this product... 8 Line Pre-Inked Stamp Starting at $16.95 Add 5 Line Pre-Inked Stamp Starting at $15.95 Add Pre-Inked Stamp Ink Refill Starting at $9.95 Add UB-04 Self-Seal Jumbo Envelopes Starting at $8.00 Add 4 Line Pre-Inked Stamp Starting at $14.95 Add Compact 3 Line Pre-Inked Stamp Starting at $11.95 Add

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