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Item #:
62080805
UB-04 (CMS-1450) Health Hospital Insurance Claim Form, Laser 8-1/2" x 11" - Pack of 100 Forms
Item #:
62080805
SLE 1225
Price Details
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Imported from USA store
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Only 12 items left in stock.
Order now and get it around Wednesday, October 07
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100% Compliant with Approved Update to HCFA / CMS-1450 Health Claim Form.
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What Stands Out
Standardized Format
The UB-04 form complies with government regulations, ensuring accurate and standardized submissions for health hospital insurance claims, minimizing rejections and streamlining the billing process.
High Quantity Pack
Each pack contains 100 forms, providing excellent value for hospitals and clinics, ensuring they have ample supplies on-hand for consistent billing practices without frequent reordering.
Laser Compatible
Designed for laser printing, the forms ensure crisp, clear prints, enhancing readability and professionalism, which are crucial for successful claims processing and effective communication with insurers.
Product Details
- UB-04 (CMS-1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11 - Pack of 100 Forms
| Standard form & application type | Claim Form |
| Model | UB-04 (CMS-1450) |
| Paper size | 8.5 x 11 - inches (21.6 cm) |
| Brand | LMS |
| Sheets | 100 |
| Material | Paper |
| Piece count | 1 |
| Item Weight | 2 lbs (910 grams) |
Who Should Buy?
-
Hospitals
Hospitals can streamline their insurance claim processes using standardized UB-04 forms for efficient billing.
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Billing Departments
Billing departments benefit from having a bulk supply of UB-04 forms to handle numerous patient claims effectively.
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Healthcare Providers
Healthcare providers can ensure accurate and timely submissions of claims to insurance companies using these forms.
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Small Clinics
Small clinics may not need 100 forms and could waste resources on excess paperwork.
Product Description
About This Item
Introducing the UB-04 CMS-1450 Health Hospital Insurance Claim Form, Laser 8-12 x 11 - Pack of 100 Forms - your solution for hassle-free insurance claim processing. When it comes to submitting insurance claims for your hospital expenses, accuracy and efficiency are key. The UB-04 CMS-1450 Health Hospital Insurance Claim Form is meticulously designed, ensuring that your claims are seamlessly processed. Whether you are a healthcare provider or an individual seeking reimbursement for medical expenses, this form is your trusted companion. Crafted using high-quality materials, these laser forms offer durability and clarity.
Measuring 8-12 x 11 inches, they provide ample space for capturing all the essential details of your claim. With a pack of 100 forms, you'll have an adequate supply to handle your hospital insurance claims seamlessly. The UB-04 CMS-1450 Health Hospital Insurance Claim Form is tailored to meet the requirements of insurers and regulatory bodies. It includes sections for capturing patient information, diagnosis codes, procedure codes, and itemized billing.
By adhering to the industry-standard UB-04 format, this form ensures compatibility with various healthcare systems and processing platforms. Why choose the UB-04 CMS-1450 Health Hospital Insurance Claim Form? - Simplify your insurance claim submission process - Ensure accuracy and completeness of your claims - Comply with industry-standard UB-04 format - High-quality laser forms for durability and clarity Don't let administrative burdens slow down your healthcare journey. With the UB-04 CMS-1450 Health Hospital Insurance Claim Form, you can streamline your insurance claim process and focus on what matters most – your health and well-being. Order your pack of 100 UB-04 CMS-1450 Health Hospital Insurance Claim Forms today and experience the convenience and efficiency it brings to your insurance claim submissions.
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Customer Questions & Answers
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Question:
What is the weight of the paper used for these forms?
Answer: The forms are made from high-quality 24-lb weight paper. -
Question:
Are these forms compatible with inkjet and laser printers?
Answer: Yes, they are designed for use with both inkjet and laser printers. -
Question:
How many forms are included in one pack?
Answer: Each pack contains 100 UB-04 Health Insurance Claim Forms.
LMS Editorial Review
The UB-04 (CMS-1450) Health Hospital Insurance Claim Form is designed for efficient claims processing in medical billing. Measuring 8.5 x 11 inches, this laser-compatible form ensures clarity and legibility for submitting crucial insurance claims. With a pack of 100 sheets, it provides a practical solution for healthcare providers needing to manage numerous claims efficiently. Users appreciate its ease of use and compatibility with various printers, making it a favored choice in the industry.
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Pros
- Compatible with laser printers for smooth processing
- Convenient pack of 100 forms for bulk use
- Standardized format meets healthcare compliance
- Clear layout for easy data entry
- Lightweight design for easy handling
Cons
- Limited to the healthcare insurance claim application needs
Platform Trust & Buyer Confidence
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Jasmin
Verified buyer
“Great products and very good service: very easy and very fast international delivery.”
9 September 2026 · via Trustpilot
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Anke
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“Wonderful online shopping experience, smooth transaction from the start. Payment method works conveniently and delivery is unexpectedly fast and reliable. You go the extra mile for service. What makes this even more amazing, you deliver to Namibia. I will remain a happy Ubuy customer and will increase my purchases for sure! Thank you!”
10 September 2026 · via Trustpilot
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Hazel
Verified buyer
“Very easy to find the products what you need, and so fast delivery, that’s why I highly recommended to others costumers to used ubuy.”
10 September 2026 · via Trustpilot
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Opaleye
Verified buyer
“I received exactly what I ordered I was skeptical about your site because that was my first time to order. But the order came timely and neatly packaged. I was not disappointed. Thank you.”
11 September 2026 · via Trustpilot
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Adele
Verified buyer
“Easy to find and order what you want on the website. Delivery is quick to the UK”
8 September 2026 · via Trustpilot
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- Limitations : For products shipped internationally, please note that any manufacturer warranty may not be valid; manufacturer service options may not be available; product manuals, instructions, and safety warnings may not be in destination country languages; the products (and accompanying materials) may not be designed in accordance with destination country standards, specifications, and labeling requirements; and the products may not conform to destination country voltage and other electrical standards (requiring use of an adapter or converter if appropriate). The recipient is responsible for assuring that the product can be lawfully imported to the destination country. When ordering from Ubuy or its affiliates, the recipient is the importer of record and must comply with all laws and regulations of the destination country.
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SLE 1225
Order now and get it around Wednesday, October 07
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:
Only 12 items left in stock.
Secured transaction
PCI DSS compliant and ISO 27001:2022 certified, with encrypted payments and full buyer protection on every order.
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Fastest cross-border delivery
Features & Benefits
- Pack of 100 UB-04 Health Insurance Claim Forms.
- Laser and inkjet format for easy printing.
- Letter size: 8-1/2 x 11 inches.
- High-quality 24-lb weight paper.
- Fully compliant with latest health claim regulations.
- Ideal for hospitals and healthcare providers.
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