UB-04 Hospital Claim Form Laser-Cut Sheet (1,000/case)

Product ID : 15982018

Product Rating

2.6 out of 5 stars

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Galleon Product ID 15982018

Shipping Weight 10 lbs
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Model

Manufacturer The Filing Supplies Shop

Shipping Dimension 12.01 x 10 x 7.99 inches
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₱ 5,139

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+ ₱ 4,200
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+ ₱ 1,470
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• Electrical items MAY be 110 volts.
• 7 Day Return Policy
• All products are genuine and original
• Cash On Delivery/Cash Upon Pickup Available

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UB-04 Hospital Claim Form Laser-Cut Sheet Features

• UB04 / CMS 1450 Medical Claim Forms, 500 Single Sheets

• 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

About UB-04 Hospital Claim Form Laser-Cut Sheet

UBO4 Medical claim forms have replaced the UB92 forms and are used by hospitals, clinics, laser surgery centers, and ambulatory surgery centers to bill medical insurance claims to the insurance carriers.