Pay in 4 interest-free payments of $5.75 Learn more
Ships within 48 hours · Estimated delivery Aug 25 - Aug 30
Copiers and Offset Machines
Pantograph: Rx Void
-Pack of 50 Sheets - Pack of 250 Sheets - Case of 1000 Sheets
Paper Weight: 24#
materials & expenses
UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11" 100 Forms Per Pack 1" x 2-5/8" - 30 Per Page - 30 Copiers and Offset MachinesCMS 1450 UB 04 Form Next Day Labels UB04 CMS 1450 forms are completely compliant with NUBC format and coding requirements: Pack of 100 Sheets 8 1 2 x 11, Letter Size 1 part Laser Ink Jet Form All fields, boxes, and Layout consistently to line up 100% with billing software Printed in the USA by Next Day Labels TM with red OCR ink GPO standards All forms adhere to strict government standards developed by HIPAA in accordance with American Hospital
US$ 17.59
US$ 595.00
US$ 175.00
US$ 2750.00
