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UB-04 Hospital Claim Form Laser-Cut Sheet (1,000/case) IS2X1 4ACROSS ink jet or Copy Machines

SKU: 45741948596
4.6
USD46.00 USD68.00

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USA
  • USA
  • CAN

Ships within 48 hours · Estimated delivery Aug 19 - Aug 24

Description

ink jet or Copy Machines

2 full Horizontal perforations 3

This pack of Employee Attendance Record Forms comes shrink-wrapped in packages of 25 forms

Each small pack includes 25 sheets (300 labels)

this computer paper has removable pinfeed margins to yield an 8-1/2 x 11 inch page

UB-04 Hospital Claim Form Laser-Cut Sheet (1,000/case) IS2X1 4ACROSS ink jet or Copy MachinesUBO4 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. 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

Exchange/Return Notes
  • We offer a 30-day return/exchange service after receiving.
  • Final sale items are not eligible for returns or exchanges.
  • To process your return/exchange, please contact us at [email protected]
  • Please click here for more details>>> Return & Exchange Policy

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