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

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Please be aware orders placed now will not arrive in time for Christmas, please check delivery times.

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

Country	USA
Binding	Office Product
Brand	Next Day Labels
EAN	0646437700320
Label	Next Day Labels
Manufacturer	Next Day Labels
Model	74522
MPN	UB-04
PartNumber	UB-04
Publisher	Next Day Labels
Studio	Next Day Labels
ReleaseDate	0000-00-00

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