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UB04 FORMS, 1 PART CONTINUOUS, 2500 PER CASE
Publisher's Stock #: CMSUB04-C1
List Price: $55.00
Discount: $0.00
Your Price: $55.00

 Product Description
 
  • UB04 / CMS 1450 Medical Claim Forms, 2,500 single 1-part continuous fee forms
  • 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
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