CMS 1450 / Ub04 Medical Billing Forms (5000 Sheets) by Salemax at A to Z Medicine. MPN: CMS1450-5000. Hurry! Limited time offer. Offer valid only while supplies last. Carbonless bond paper for jam-free performance and are printed in OCR-scannable red ink. All forms are government approved CMS-1450 (UB04) to serve federal programs and private insurers as a universal claim form.1 Part Laser (5000 Single Sheets - for Laser/Inkjet Printers). Meets all Government Standards. Accommodates reporting of the National Provider Identifier (NPI) number. Factory Sealed.
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