UB-04 CMS 1450 Health Hospital Insurance Claim Form, Laser 8-1/2 x 11" 500 Per Pack
UB-04 CMS 1450 Health Hospital Insurance Claim Form, Laser 8-1/2 x 11" 500 Per Pack
Hero image 0 of UB-04 CMS 1450 Health Hospital Insurance Claim Form, Laser 8-1/2 x 11" 500 Per Pack, 0 of 6
Next Day Labels

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

(No ratings yet)
UB-04 CMS 1450 Health Hospital Insurance Claim Form, Laser 8-1/2 x 11" 500 Per PackUB 04 CMS 1450 Health Hospital Insurance Claim Form Laser 8 1 2 x 11 500 Per PackUB 04 CMS 1450 Health Hospital Insurance Claim Form Laser 8 1 2 x 11 100 Forms Per Pack
Count:500

Key item features

  • 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
Current price is $28.11
Price when purchased online
  • Free shipping
  • Free 30-day returns

How do you want your item?

How do you want your item?
Ships to
Arrives by Thu, May 21
|
Sold and shipped by Next Day Labels
4.359223300970874 stars out of 5, based on 103 seller reviews(4.4)
Report an issue with this seller
Free 30-day returns

About this item

Product details

Specifications

Warranty

Customer ratings & reviews

0 ratings|0 reviews
This item does not have any reviews yet