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 In The National Interest. MPN: UB04-1. Hurry! Limited time offer. Offer valid only while supplies last. Pack of 100
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
|Manufacturer:||Next Day Labels|
|Brand:||Next Day Labels|
|Publisher:||Next Day Labels|
|Studio:||Next Day Labels|
|Item Weight:||0.95 pounds|
|Item Size:||8.1 x 0.6 x 0.6 inches|
|Package Weight:||0.95 pounds|
|Package Size:||8.1 x 0.6 x 0.6 inches|
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