Blue Summit Supplies 500 UB04 Claim Forms, CMS 1450, 8.5 x 11
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Blue Summit Supplies 500 UB04 Claim Forms, CMS 1450, 8.5 x 11
Get reimbursed easily and 100% compliant with HIPAA using our UB-04 claim forms for hospitals and medical facilities.
Blue Summit Supplies 500 UB04 Claim Forms, CMS 1450, 8.5" x 11"
Item #: 34926792

Blue Summit Supplies 500 UB04 Claim Forms, CMS 1450, 8.5" x 11"

90% of respondents would recommend this to a friend

Item #: 34926792

GHS 643

Price Details

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*All items will import from US

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Order now and get it around Wednesday, September 30
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Get reimbursed easily and 100% compliant with HIPAA using our UB-04 claim forms for hospitals and medical facilities.
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What Stands Out

High Quantity Pack
Includes 500 UB04 Claim Forms, ensuring ample supply for hospitals and medical facilities, promoting efficiency and consistent billing operations.
Standard Compliance
Designed to meet the requirements of major insurance providers, including Medicare, ensuring accurate submissions and reducing claim rejections.
Optimal Size
Each form is 8.5 x 11 inches, providing a standard size that fits perfectly in printers and simplifies filing for healthcare providers.

Product Details

Shop now for 500 UB04 claim forms, CMS 1450 health insurance claim forms for hospitals and medical facilities. Standard uniform billing form for major insurance providers including Medicare. Available in a 500 pack, 8.5 x 11 in size. Global store. Shop at Ubuy Ghana
  • 500 UB04 Claim Forms, CMS 1450 Health Insurance Claim Forms for Hospitals and Medical Facilities
  • Forms are 100% compliant with HIPAA, including correct content, red ink, and 1 part printing style
  • Printed fields align perfectly with UB 04 claim form boxes when using templates or billing software
  • Manufactured in the USA using 20 lb paper that meets NUBC standards
  • Compatible with both laser and inkjet printers, without jamming
  • UB-04 forms can be used for facility and ancillary paper billing by medical and mental health care facilities
Item Weight8 ounces (226.8 grams)
Paper SizeLetter
Sheet Count500
Paper Weight20
Item Dimensions L x W11.5"L x 8.75"W (29.2 x 22.2 cm)
Colorred ink
Material FeaturesBiodegradable
Brand NameBlue Summit Supplies
Unit Count500 Count
UPC810007060798
ManufacturerBlue Summit Supplies
BrandBlue Summit Supplies
Sheet SizeLetter

Who Should Buy?

Suitable For
  • Hospitals

    Ideal for hospitals needing to process insurance claims efficiently with standardized forms for major insurance providers.

  • Medical Facilities

    Perfect for clinics and medical offices that require uniform billing forms for simplified insurance claim submissions.

  • Billing Departments

    Useful for healthcare billing departments wanting to maintain accurate records and streamline claim processing workflows.

Not Suitable For
  • Small Practices

    Small medical practices with minimal claim submissions may find 500 forms excessive and unnecessary for their needs.

Product Description

Blue Summit Supplies 500 UB04 Claim Forms, CMS 1450, 8.5" x 11"

Have any Query? Chat with us

Customer Questions & Answers

  • Question: What are UB04 Claim Forms used for?

    Answer: UB04 Claim Forms are standardized billing forms utilized by hospitals and healthcare facilities to submit insurance claims for services provided. These forms ensure uniformity across various payers, making it easier to process claims efficiently. They detail necessary patient information, diagnosis codes, and treatment specifics, aiding in accurate reimbursement for the services rendered.
  • Question: Who can use the CMS 1450 Health Insurance Claim Forms?

    Answer: The CMS 1450, also known as the UB04 Claim Form, can be used by healthcare providers such as hospitals, rehabilitation centers, and nursing facilities. It serves as an essential tool for submitting claims to major insurance companies for inpatient and outpatient services, ensuring that these entities receive the necessary information for reimbursement. It's critical for healthcare facilities to understand its proper use to maintain cash flow.
  • Question: How do I fill out the UB04 Claim Form?

    Answer: Filling out the UB04 Claim Form involves providing specific details about the patient, services rendered, and diagnosis codes. You need to include accurate patient demographics, account numbers, and the type of services or procedures performed. It's crucial to consult the official UB04 guidelines to understand the required fields and codes to avoid delays in reimbursement. Healthcare administrators typically undertake this task to ensure compliance and accuracy.
  • Question: Can UB04 forms be submitted electronically?

    Answer: Yes, UB04 Claim Forms can be submitted electronically through various healthcare billing software systems that support electronic claims submission. Electronic submission allows for faster processing times and reduces the chances of errors commonly associated with paper submissions. Many healthcare facilities prefer this method for its efficiency and ability to track claims status easily.
  • Question: What information is required on a UB04 Claim Form?

    Answer: A fully completed UB04 Claim Form requires detailed information such as patient demographics, admission and discharge dates, diagnosis codes (ICD), procedure codes (CPT), and billing provider details. Additional information, such as insurance company information and billing type, is also necessary. Completing this form accurately is vital for ensuring prompt processing and payment from insurance providers.
  • Question: Are UB04 Claim Forms needed for all insurance claims?

    Answer: UB04 Claim Forms are primarily required for facility-based claims, such as those from hospitals and larger healthcare facilities. However, certain outpatient services or specialty practices may use different forms, depending on the payer's requirements. Understanding which forms to use based on the type of service offered is crucial for effective billing practices in healthcare.
  • Question: What is the difference between UB04 and CMS 1500 forms?

    Answer: The main difference is that the UB04 Claim Form is designed for institutional healthcare providers, like hospitals, while the CMS 1500 form is typically used by individual practitioners and outpatient services. Knowing which form to use is important for ensuring claims are processed correctly and efficiently, as each form serves distinct purposes in the healthcare billing process.
  • Question: Which version of the UB04 form should I use?

    Answer: Healthcare facilities should always utilize the most current version of the UB04 Claim Form, as updates may include changes to fields, codes, and requirements based on payer regulations. Regular checks against the official National Uniform Billing Committee (NUBC) website can provide the most current guidance. Using the updated version ensures compliance with existing regulations and optimal claim processing.
  • Question: What are common mistakes to avoid when submitting UB04 forms?

    Answer: Common mistakes when submitting UB04 Claim Forms include inaccurate patient information, missing codes, or using outdated forms. It's essential to review forms for completeness and accuracy before submission. Implementing a review process within billing teams can significantly reduce the number of denied claims due to errors, leading to smoother financial operations.
  • Question: Where can I buy 500 UB04 Claim Forms in Ghana?

    Answer: You can buy 500 UB04 Claim Forms in Ghana through Ubuy. Ubuy is a reliable platform that offers a wide range of office supplies and medical forms, including the UB04 Claim Forms. Their easy-to-navigate interface allows you to find the forms you need quickly, ensuring you can keep your medical billing operations running seamlessly.

Blue Summit Supplies Insurance Claim Forms Editorial Review

Blue Summit Supplies 500 UB04 Claim Forms, CMS 1450, 8.5" x 11" are a practical choice for medical billing needs. Users appreciate the good quality paper and the perfect red ink, which ensures that claims are accepted without issues. These forms come in a manageable package of 500 sheets, making them ideal for offices that do not require large quantities. Although some found the alignment to differ slightly from previous forms, adjustments can be made easily on computers for optimal results. Overall, they serve the purpose well, meeting the demands of medical billing professionals.

Customer Reviews & Ratings

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Pros

  • High-quality biodegradable paper for eco-friendly use
  • Convenient pack size perfect for smaller needs
  • Clear red ink aids in quick claim processing
  • Forms line up adequately for accurate submissions
  • Perfect margins for easy printing

Cons

  • Slightly different alignment may require adjustments

Platform Trust & Buyer Confidence

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4.2/5 9477 reviews
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JK
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
Verified buyer

“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
H
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
O
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
AC
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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GHS 643

Order now and get it around Wednesday, September 30

QTY:

Secured transactionsecured transaction

PCI DSS compliant and ISO 27001:2022 certified, with encrypted payments and full buyer protection on every order.

Our Top Logistics Partners
  • fedex
  • dhl
Fastest cross-border delivery

Features & Benefits

  • UB-04 forms are compliant with HIPAA and all correct content
  • All fields align with correct boxes when using templates or billing software
  • Manufactured in the USA with 20 lb paper that feeds through both laser and inkjet printers
  • 100% compliant with HIPAA Act and printed by US government certified printers
  • Ideal for facility and ancillary paper billing by medical and mental health care facilities

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