UB-04 Hospital Claim Form Laser-Cut Sheet (1,000/case)
$37.44

Description

UB04 / CMS 1450 Medical Claim Forms, 500 Single Sheets.These are the latest UB04 claim forms (also called CMS 1450 and formerly the UB92 form).This is the latest/newest form that accommodates reporting of the National Provider Identifier (NPI) number.Meets all Government Standards

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