☰

Office Products

Office & School Supplies

Forms, Recordkeeping & Money Handling

Human Resources Forms

Insurance Claim Forms

CMS 1450 / Ub04 Medical Billing Forms (1000 Sheets)

R 4,537

or 4 x payments of R1,134.25 with Payflex

Payflex

Availability: Currently in Stock

Delivery: 10-20 working days

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.
Country USA
Brand Salemax
Manufacturer Salemax300
Binding Office Product
ItemPartNumber CMS1450-1000
Model CMS1450-1000
ReleaseDate 0000-00-00