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2500 UB04- CMS 1450 Medical Billing Claim Forms, 1 Part Continuous (NLCR)

nlcr

2500 UB04- CMS 1450 Medical Billing Claim Forms, 1 Part Continuous (NLCR)

$44.99

 

  • 2500 UB04 forms (1 Part Continuous) for Pinfeed or Dot-Matrix
  • Approved CMS 1450 / UB04 Form OMB0938-0997
  • This is the latest/newest form that accommodates reporting of the National Provider Identifier (NPI) number
  • Jam-free performance and are printed in OCR-scannable red ink
  • Meets all Government Standards

 

Product Description

 

  • 2500 UB04 forms (1 Part Continuous) for Pinfeed or Dot-Matrix
  • Approved CMS 1450 / UB04 Form OMB0938-0997
  • This is the latest/newest form that accommodates reporting of the National Provider Identifier (NPI) number
  • Jam-free performance and are printed in OCR-scannable red ink
  • Meets all Government Standards

Additional Information

Weight 34 lbs
Dimensions 11 x 9.5 x .5 in