UB-04 (CMS 1450) Medical Billing Claim Forms. Open pkg. Few less than 500.
$12 $22
Size
Not for sale
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UB-04 Hospital Claim Form - CMS-1450
Approved OMB No. 0938-0997
1 Part - 11" x 8.5" - Laser & Inkjet Compatible
Forms still in original package, there are a few less than 500
Cannot Bundle due to increased postage amount
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