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NextDayLabels - UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11 100 Forms Per Pack
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Product Details
UB-04 (CMS 1450) Health Insurance Claim Form
Laser / Ink-JetFormat
1 Part 24# 8-1/2 x 11 (Letter Size)
Accommodates reporting of the National Provider Identifier (NPI) number
100% compliant with the approved update to the HCFA / CMS1450 health claim form
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