TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
Product Description
TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
- 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
UB-04 Hospital Claim Form Laser-Cut Sheet (2,500/case) Printed in OCR red "dropout" ink 20# Environmental Paper Alliance (EPA) Recycled Paper (White) 2,500/case
Technical Specifications
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