UB-04 (CMS-1450) Health Hospital Insurance Claim Form, Laser 8-1/2" x 11" - Pack of 100 Forms
Product Description
UB-04 (CMS-1450) Health Hospital Insurance Claim Form, Laser 8-1/2" x 11" - Pack of 100 Forms
- UB-04 (CMS-1450) Health Insurance Claim Form
- Laser / Inkjet Format
- 24-lb, 8.5 x 11-inch (Letter Size)
- 100% Compliant with Approved Update to HCFA / CMS 1450 Health Claim Form
Technical Specifications
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