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UB-04 (CMS-1450) Health Hospital Insurance Claim Form, Laser 8-1/2" x 11" - Pack of 100 Forms

R 1,376

or 4 x payments of R344.00 with Payflex

Availability: Currently in Stock

Delivery: 10-20 working days

Please be aware orders placed now may not arrive in time for Christmas, please check delivery times.

UB-04 (CMS-1450) Health Hospital Insurance Claim Form, Laser 8-1/2" x 11" - Pack of 100 Forms
- UB-04 (CMS-1450) Health Insurance Claim Form
- Laser / Inkjet Format
- 24-lb, 8.5 x 11-inch (Letter Size)
- 100% Compliant with Approved Update to HCFA / CMS 1450 Health Claim Form
Country USA
Brand LINTON MAILING SUPPLIES
Manufacturer Linton Mailing Supplies
Binding Office Product
ItemPartNumber LMS-UB04-CMS1450-100
UPCs 604286318387
EANs 0604286318387
ReleaseDate 0000-00-00

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