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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
 
 
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
 
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