Home page

Customer Service 1-800-253-4945
Welcome, Guest | English | USD | Sign In

Item Detail

UB04 FORMS, LASER, 2500 PER CASE
Publisher's Stock #: S59
List Price: $55.00
Discount: $0.00
Your Price: $55.00

 Product Description
 
  • UB04 / CMS 1450 Medical Claim Forms, 2,500 single sheet laser 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
  • #

    Line Item Add

    Item Number:
    Quantity: