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UB04 / CMS 1450 Medical Claim Forms, 25 Sheets, New!

UB04 / CMS 1450 Medical Claim Forms, 25 Sheets, New!

$ 3.16

Availability: 42 in stock
  • Return shipping will be paid by: Buyer
  • Item must be returned within: 30 Days
  • All returns accepted: Returns Accepted
  • Condition: New
  • Refund will be given as: Money Back
  • Restocking Fee: No

    Description

    Brand New!
    UBO4 Medical claim forms have replaced the UB92 forms and are used by hospitals, clinics, laser surgery centers, and ambulatory surgery centers to bill medical insurance claims to the insurance carriers.
    These are the latest UB04 claim forms (also called CMS 1450 and formerly the UB92 form).
    Please note: This is the latest/newest form that a
    ccommodates reporting of the National Provider Identifier (NPI) number
    You get:
    1 Part Laser (25 Single Sheets - Laser/Inkjet)
    .
    Meets all Government Standards
    Factory Sealed
    Only .30 to ship within the USA. Will not ship outside USA.
    Thanks for looking!
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