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CMS 1450/UB-04 Hospital Claim Form Laser Cutsheet
Item #: UB04LC
Retail: $56.16 Price: $37.11
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|Hospital billing claim laser UB-04 cut sheet forms. Also known as the CMS 1450 form and UB04 form by the Centers for Medicare and Medicaid Services.
CMS 1450/UB-04 Hospital Claim Form Laser Cutsheet . Paper type: White. Sold in quantities of 2500/Ctn. Paper size: 8-1/2" x 11".