Bill form used to submit hospital insurance claims for payment by third parties. Similar to HCFA 1500, but reserved for the inpatient component of health services.
Visit Us
North Carolina Healthcare Association
5440 Wade Park Blvd, Suite 410
Raleigh, NC 27607 Directions
Main: 919-677-2400
Fax: 919-677-4200
Mail to: PO Box 4449, Cary, NC 27519-4449