Stockchecks
UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11 2500 Per Carton
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R 7,584
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Delivered in 10–20 working days —
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Description
- Carton of 2500 Sheets of UB-04 (CMS 1450) Health Insurance Claim Forms
- 1 Part 24# 8-1/2 x 11 (Letter Size) Laser / Ink-JetFormat
- Printed in RED droput ink
- 100% compliant with the approved update to the HCFA / CMS1450 health claim form
- Accommodates reporting of the National Provider Identifier (NPI) number
Technical Specifications
Manufacturer
StockChecks
Model
74522
Size
500
Height
25.4 cm
Length
27.9 cm
Width
21.6 cm
Weight
27 kg
Shipping & Delivery
Your order is shipped from the USA and delivered to your door in South Africa in 10–20 working days. All items are fully tracked.
Returns & Exchanges
We offer a 30-day return window. If something isn't right, contact our support team and we'll make it right.