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TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)

KWD 35

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Special Features

  • UB-04 Hospital Claim Form for Laser Printers
  • Approved OMB NO: 0938-0997
  • 2,500 Sheets
  • Accommodate the reporting of the National Provider Identifier (NPI) Number

Description

UB-04 / CMS-1450 . Approved OMB NO: 0938-0997. 2,500ct.

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