CMS 1450 / Ub04 Medical Billing Forms (1000 Sheets)
R 4,728
or 4 x payments of R1,182.00 with
Availability: Currently in Stock
Delivery: 10-20 working days
Please be aware orders placed now will not arrive in time for Christmas, please check delivery times.
CMS 1450 / Ub04 Medical Billing Forms (1000 Sheets)
1 Part Laser (1000 Single Sheets - for Laser/Inkjet Printers)
Meets all Government Standards
Accommodates reporting of the National Provider Identifier (NPI) number
Factory Sealed
Carbonless bond paper for jam-free performance and are printed in OCR-scannable red ink. All forms are government approved CMS-1450 (UB04) to serve federal programs and private insurers as a universal claim form.