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UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11 2500 Per Carton

R 3,118

or 4 x payments of R779.50 with Payflex

Availability: Currently in Stock

Delivery: 10-20 working days

Please be aware orders placed now will not arrive in time for Christmas, please check delivery times.

UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11 2500 Per Carton
- Carton of 2500 Sheets of UB-04 (CMS 1450) Health Insurance Claim Forms
- 1 Part 24# 8-1/2 x 11 (Letter Size) Laser / Ink-JetFormat
- Printed in RED droput ink
- 100% compliant with the approved update to the HCFA / CMS1450 health claim form
- Accommodates reporting of the National Provider Identifier (NPI) number
Country USA
Brand Stockchecks
Manufacturer StockChecks
Binding Office Product
ItemPartNumber NLCFUB041
Model 74522
Size 500
ReleaseDate 0000-00-00

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Country	USA
Brand	Stockchecks
Manufacturer	StockChecks
Binding	Office Product
ItemPartNumber	NLCFUB041
Model	74522
Size	500
ReleaseDate	0000-00-00