TFP UB-04 CMS-1450 1-Part Health Insurance Claims UB04LC
Dimensions (Overall): .99 inches (L), .99 inches (W)Suggested Age: All AgesPackage Quantity: 2500Material: Paper & bull; Sold as 2500/Carton. & bull; State: IL - Illinois. & bull; Type: Poster. & bull; Sold individually.Complete billing tasks with these TFP UB-04 one-part hospital claim forms. Ensure proper processing of medical procedures and patient care with these hospital claim forms. The 20-pound bond paper offers added durability and is easy to load in office printers, while the one-part format creates a crisp, high-quality master copy. Each of these TFP UB-04 hospital claim forms features preprinted sections for services, codes, and rates, along with each patient's personal information for accurate reporting. Designed for hospitals to file a medical claim with the patient's insurance carrier. One-part health insurance forms. Contains 2500 forms per carton. Printed with OCR dropout red ink on white paper. Developed in conjunction with all the governing agencies. Comes in laser-cut sheet format. State: IL - Illinois. Type: Poster. Sold individually. Sold as 2500/Carton.
TFP Health Insurance Claim Form Window Envelopes 1500ES
Dimensions (Overall): 10.49 inches (L), 8.59 inches (W)Weight: 6.5 ouncesPackage Quantity: 500Material: Paper & bull; Sold as 500/Box. & bull; Self seal CMS-1500 right window envelope. & bull; HIPAA security tent, 24 lb. bond paper. & bull; 4 1/2" x 9 1/2". & bull; Accommodates 12 folded CMS-1500 claim forms. Certified Chain of Custody; Promoting Sustainable Forest Management. All envelopes have confidential lining for added security. 500 per carton.Specially designed window envelopes fit HCFA approved, medical claim forms when tri-folded. Self seal CMS-1500 right window envelope. HIPAA security tent, 24 lb. bond paper. 4 1/2" x 9 1/2". Accommodates 12 folded CMS-1500 claim forms. Certified Chain of Custody; Promoting Sustainable Forest Management. All envelopes have confidential lining for added security. 500 per carton. Compatible with laser or dot-matrix printers. Window dimensions: 1"H x 4-1/2"W. Window placement: 5/8" from right and 1-9/16" from bottom. Self seal CMS-1500 right window envelope. HIPAA security tent, 24 lb. bond paper. 4 1/2" x 9 1/2". Accommodates 12 folded CMS-1500 claim forms. Certified Chain of Custody; Promoting Sustainable Forest Management. All envelopes have confidential lining for added security. 500 per carton. Sold as 500/Box.
TFP CMS-1500 Health Insurance Claim Form; Laser-Cut Sheet 116719
Dimensions (Overall): 11.49 inches (L), 9.19 inches (W)Suggested Age: All AgesPackage Quantity: 1Material: Plastic & bull; Sold as 1 Each. & bull; Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant & bull; This form was revised to align the paper form with some of the changes in the electronic health care claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1) & bull; The most significant change was the addition of 8 diagnosis codes in field 21 Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems. & bull; Printed with OCR "dropout" red ink on 20lb. paper (per government regulations) Form not available personalized Certified Chain of Custody; promotes sustainable forest management Size: 8-1/2 x 11" 1,000 per carton.Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant. This form was revised to align the paper form with some of the changes in the electronic health care claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1). The most significant change was the addition of 8 diagnosis codes in field 21. Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems. Printed with OCR dropout red ink on 20lb. paper (per government regulations). Form not available personalized. Certified Chain of Custody; promotes sustainable forest management. Size: 8-1/2 x 11. 1,000 per carton. Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant. This form was revised to align the paper form with some of the changes in the electronic health care claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1). The most significant change was the addition of 8 diagnosis codes in field 21 Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems. Printed with OCR "dropout" red ink on 20lb. paper (per government regulations) Form not available personalized Certified Chain of Custody; promotes sustainable forest management Size: 8-1/2 x 11" 1,000 per carton. Sold as 1 Each.
TFP Health Insurance Claim Form Window Envelopes 1500LR
Dimensions (Overall): 14.79 inches (L), 9.09 inches (W)Weight: 3.5 poundsPackage Quantity: 100Material: Paper & bull; Sold as 100/Pack. & bull; 24 lb.. & bull; Self seal CMS-1500 jumbo envelope, right window position. & bull; Size: 9" x 12 1/2". & bull; HIPAA security tent, 24 lbs. bond paper. Accomodates 50 unfolded CMS-1500 claim forms. Certified Chain of Custody; Promoting Sustainable Forest Management. All envelopes have confidential lining for added security and are self-sealing.Specially designed window envelopes fit HCFA approved, medical claim forms when tri-folded. 24 lb. Self seal CMS-1500 jumbo envelope, right window position. Size: 9" x 12 1/2". HIPAA security tent, 24 lbs. bond paper. Accomodates 50 unfolded CMS-1500 claim forms. Certified Chain of Custody; Promoting Sustainable Forest Management. All envelopes have confidential lining for added security and are self-sealing. Compatible with laser or dot-matrix printers. 100 per carton. See product specification chart for details. Top loading. 24 lb. Self seal CMS-1500 jumbo envelope, right window position. Size: 9" x 12 1/2". HIPAA security tent, 24 lbs. bond paper. Accomodates 50 unfolded CMS-1500 claim forms. Certified Chain of Custody; Promoting Sustainable Forest Management. All envelopes have confidential lining for added security and are self-sealing. Sold as 100/Pack.
