Office Products > Office & School Supplies > Forms, Recordkeeping & Money Handling > Human Resources Forms > Insurance Claim Forms
CMS 1450 / Ub04 Medical Billing Forms (1000 Sheets)
Product ID: 8420982
Condition: New
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R 4,134
includes Duties & VAT
Delivery: 10-20 working days
Ships from USA warehouse.
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Product Description
CMS 1450 / Ub04 Medical Billing Forms (1000 Sheets)
- 1 Part Laser (1000 Single Sheets - for Laser/Inkjet Printers)
- Meets all Government Standards
- Accommodates reporting of the National Provider Identifier (NPI) number
- Factory Sealed
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.
Technical Specifications
Country
USA
Brand
Salemax
Manufacturer
Salemax300
Binding
Office Product
ItemPartNumber
CMS1450-1000
Model
CMS1450-1000
