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UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11 500 Per Pack
Box of 500 Sheets of UB-04 (CMS 1450) Health Insurance Claim Form 1 Part 24# 8-1/2 x 11 (Letter Size) Laser / Ink-JetFormat Accommodates reporting of the National Provider Identifier (NPI) number 100% compliant with the approved update to the HCFA / health claim form Made in the USA by Next Day Labels TM Manufacturer Next Day Labels, Brand Next Day Labels, Weight 5.1 pounds, Dimensions 10.3 x 8.5 x 2 inches, model number 74522, Is Discontinued No, Material Type Paper,

Price is $27.00

Price: $27.38