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UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11'' 100 Forms Per Pack


UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11'' 100 Forms Per Pack by Next Day Labels at Awesome Attorney. MPN: UB04-1. Hurry! Limited time offer. Offer valid only while supplies last. Pack of 100


Images:
UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11'' 100 Forms Per Pack by Next Day Labels (Image #1)
UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11'' 100 Forms Per Pack by Next Day Labels (Image #2)
UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11'' 100 Forms Per Pack by Next Day Labels (Image #3)
Brand: Next Day Labels
4.6 out of 5 stars with 61 reviews
Condition: New
Availability: In Stock
$10.99


Quantity:  

 



Product Description & Reviews

Pack of 100 Forms

Features & Highlights

  • UB-04 (CMS 1450) Health Insurance Claim Form
  • Laser / Ink-JetFormat
  • 1 Part 24# 8-1/2 x 11 (Letter Size)
  • Accommodates reporting of the National Provider Identifier (NPI) number
  • 100% compliant with the approved update to the HCFA / CMS1450 health claim form

Additional Information

Brand:
Next Day Labels
Manufacturer:
Next Day Labels
Category:
Professional Dental Supplies
Model:
OP-7410
MPN:
UB04-1
UPC:
646437700368
Part Number:
UB04-1
Size:
100
Publisher:
Next Day Labels
Binding:
Office Product
Item Weight:
0.95 pounds
Item Size:
8.1 x 0.6 x 11 inches
Package Weight:
0.95 pounds
Package Size:
8.1 x 0.6 x 11 inches

 


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