deal-dx.com
 
 
 
 
 
 
New arrivals Blogs 10 US$ Gadgets Amazon reviews Advertising Privacy statement
 
 
 
Human Resources Forms
Insurance Claim Forms
Tax Forms
Personnel Forms
 
Price navigation
Any price
to 5 US$
5 to 10 US$
10 to 20 US$
20 to 30 US$
30 to 50 US$
Luxury
 
 
 

UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11" 500 Per Pack

SKU: B074TT35B8 (Updated 2023-01-25)
Price: US$ 25.99
 
 

You might be also interested in
 
 
3dRose Danita Delimont - Butterflies - Longwing butterfly, Central and South America - NA01 AJE0107...
US$ 22.49
 
Pre-Stretched Canvas
 
 
Natural Uniforms Classic Chef Cargo Pants (Black Single, Medium)
US$ 21.95
 
Chef Pants
 
 
Artlicious Canvas Panels 12 Pack - 5 inch x 7 inch Super Value Pack- Artist Canvas Boards for Painti...
US$ 10.54
 
Canvas Boards & Panels
 
 
National Geographic Park Profiles: Grand Canyon Country: Over 100 Full-Color Photographs, plus Detai...
US$ 16.00
 
Camping & RVs
 
 
Phonics Pathways: Clear Steps to Easy Reading and Perfect Spelling, 10th Edition
US$ 19.99
 
Phonetics & Phonics
 
     
Description
 
Features & details

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


EAN: 0646437700320


Manufacturer: Next Day Labels


Brand: Next Day Labels
 
We hope you love the products we recommend! All of products are independently selected by deal-dx editors. Just to let you know, deal-dx may collect a share of sales or other compensation from the links on this page if you decide to shop from them. As an Amazon Associate we earn from qualifying purchases. Prices are accurate and items in stock as of time of publication.
© deal-dx.com 2013        info(at)deal-dx.com
 
 
This website uses cookies for the correct display and functionality. Do you also want to take full advantage of the website and accept cookies?
About cookies. Accept cookies