الاجهزه الالكترونيات الامريكية قد تحتاج الى محمول فولت من ١١٠ الى ٢٢٠.قد تحتاج إلى محول كهرباء
مميزات خاصة
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
وصف
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.