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Tops - TOP59870R - UB04 Hospital Insurance Claim Form in Kuwait

Tops - TOP59870R - UB04 Hospital Insurance Claim Form

KWD 62.500
Brand
Tops
Weight
11.8 kg
All electronics ship with US style plugs. You may need a voltage converter or a plug adapter.
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Special Features

  • Continuous forms are designed for hospitals to file a claim with the patient's insurance company
  • Forms are printed to GPO standards in OCR ink on 20 lb. bond
  • Health Care Finance Administration format ensures accuracy in reporting all necessary information
  • 11" Length x 8.50" Width; 2500 / Carton
  • Replaces the UB-92

Description

UB-04 laser-cut forms are designed for medical offices to file a claim with the patient's insurance company. The Health Care Finance Administration format ensures accuracy in reporting all necessary information. Forms meet the requirements of the Centers for Medicare and Medicaid Services (CMS). Forms are printed on 20 lb. bond paper.

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