---
product_id: 165138088
title: "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, 500 Pack, 8.5 x 11 in"
brand: "blue summit supplies"
price: "₪278"
currency: ILS
in_stock: true
url: https://www.desertcart.co.il/products/165138088-500-ub04-claim-forms-cms-1450-health-insurance-claim-forms
store_origin: IL
region: Israel
---

# HIPAA compliant 500 forms Laser/inkjet compatible 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, 500 Pack, 8.5 x 11 in

**Brand:** blue summit supplies
**Price:** ₪278
**Availability:** ✅ In Stock

## Summary

> 🩺 Claim Your Success with Confidence!

## Quick Answers

- **What is this?** 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, 500 Pack, 8.5 x 11 in by blue summit supplies
- **How much does it cost?** ₪278 with free shipping
- **Is it available?** Yes, in stock and ready to ship
- **Where can I buy it?** [www.desertcart.co.il](https://www.desertcart.co.il/products/165138088-500-ub04-claim-forms-cms-1450-health-insurance-claim-forms)

## Best For

- blue summit supplies enthusiasts

## Why This Product

- Trusted blue summit supplies brand quality
- Free international shipping included
- Worldwide delivery with tracking
- 15-day hassle-free returns

## Key Features

- • **NUBC Standards Met:** Crafted from 20 lb paper that adheres to all NUBC guidelines.
- • **100% HIPAA Compliance:** Rest easy knowing your forms meet all HIPAA standards.
- • **High-Quality Printing:** Manufactured in the USA with precision for flawless alignment.
- • **Versatile Compatibility:** Seamlessly feeds through both laser and inkjet printers.
- • **Streamlined Reimbursement:** Easily get reimbursed with 500 UB-04 forms designed for efficiency.

## Overview

This pack of 500 UB-04 Claim Forms (CMS 1450) is essential for hospitals and medical facilities seeking efficient reimbursement from major insurance providers, including Medicare. Each form is 100% HIPAA compliant, printed on high-quality 20 lb paper, and designed for seamless compatibility with both laser and inkjet printers. Manufactured in the USA, these forms ensure that all printed fields align perfectly with the required boxes, making billing a breeze for institutional providers.

## Description

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, 500 Pack, 8.5 x 11 in

## Features

- Hospitals, nursing facilities, and other in-patient providers can easily get reimbursed by insurance companies with UB-04 forms (CMS1450) that are 100% compliant with HIPAA with all correct content, red ink, and 1 part printing style (OMB-0938-0997)
- All printed fields will align with the correct boxes of your UB 04 claim forms when using your templates or billing software with our consistently high quality medical forms that are manufactured in the USA
- Our UB-04 (CMS 1450) forms are manufactured using 20 lb paper that meets all NUBC standards and easily feeds through both laser and inkjet printers without jamming
- Our UB-04 (CMS-1450) 100% compliant with HIPAA Act with all forms printed in the USA by US government certified printers
- Institutional providers can use a paper copy of the UBO4 claims form for facility and ancillary paper billing by medical and mental health care facilities

## Technical Specifications

| Specification | Value |
|---------------|-------|
| Manufacturer | Blue Summit Supplies |
| Brand | Blue Summit Supplies |
| Item Weight | 4.95 pounds |
| Package Dimensions | 11.22 x 8.54 x 1.97 inches |
| Material Type | Paper |
| Manufacturer Part Number | BSS-92588-376 |

## Images

![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, 500 Pack, 8.5 x 11 in - Image 1](https://m.media-amazon.com/images/I/71DHWY1EUqL.jpg)
![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, 500 Pack, 8.5 x 11 in - Image 2](https://m.media-amazon.com/images/I/81j5w8lTORL.jpg)
![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, 500 Pack, 8.5 x 11 in - Image 3](https://m.media-amazon.com/images/I/71WR+UpKaDL.jpg)

## Frequently Bought Together

- 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, 500 Pack, 8.5 x 11 in
- NextDayLabels - CMS 1500 / HCFA 1500 Insurance Claim Forms - Laser/Ink-Jet Compatible (New Version 02/12) Letter Size 8-12" x 11", 500 Sheets Per Pack
- Amazon Basics Multipurpose Copy Printer Paper, 20 lb, 92 Bright, 8.5" x 11", White, 8 Reams, 4000 Sheets (500 Sheets/Ream)

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**Shop now:** [https://www.desertcart.co.il/products/165138088-500-ub04-claim-forms-cms-1450-health-insurance-claim-forms](https://www.desertcart.co.il/products/165138088-500-ub04-claim-forms-cms-1450-health-insurance-claim-forms)

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*Product available on Desertcart Israel*
*Store origin: IL*
*Last updated: 2026-01-22*