UB-04 Hospital Claim Form Laser-Cut Sheet (1,000/case)
The Filing Supplies Shop
SKU: EZFB005DTEO8W
Out Of Stock
$43.70
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
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. Brand: The Filing Supplies Shop, Model: 10420, Color: White
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