Shopping Cart

0 item(s) in cart/ total: $0    view cart
Home > Medical Forms > CMS/UB04  >  UB-04 Forms, Laser, 8.5 x 11
UB-04 Forms, Laser, 8.5 x 11
Laser UB-04 Form

UB-04 Forms, Laser, 8.5 x 11

review
1 Review(s)
5
 | Questions about this item? Be the first to ask here.
Your Price:$34.50
Part Number:WEB-NLCF-UB04-1
Quantity Pricing
Quantity
Price
  • 5 - 9
  • $32.50
  • 10 - 19
  • $31.50
  • 20+
  • $30.50
Laser- 8 1/2" x 11" for laser or inkjet printers
Box quantity: 2500

Printed in red, OCR scannable ink in compliance with government standards
Medicare approved for billing Medicare Part A claims
5 Stars
accounting assistant
good
Did you find this helpful?  1 of 1 Found Helpful
Reviewed by: (Verified Buyer)  from oakland. on 11/17/2015
5/5

Related Items

Jumbo CMS-1500 Envelope, Right Window, Self Seal- BLANK 500/bx
Jumbo CMS-1500 Envelope, Right Window, Self Seal- BLANK 500/bx
$84.95
CMS-1500 Form (New 02/12 version), Laser, 8.5 x 11, 2500/bx
CMS-1500 Form (New 02/12 version), Laser, 8.5 x 11, 2500/bx
Average Rating(6)
$34.95
Jumbo UB-04 Envelope, Left Window, Self Seal- BLANK 500/bx
Jumbo UB-04 Envelope, Left Window, Self Seal- BLANK 500/bx
$78.00
CMS-1500 Form (New 02/12 version), Unit Set, 8.5 x 11
CMS-1500 Form (New 02/12 version), Unit Set, 8.5 x 11
$32.00
CMS-1500 Form (New 02/12 version), 2 Part Continuous, 1000/bx
CMS-1500 Form (New 02/12 version), 2 Part Continuous, 1000/bx
Average Rating(1)
$37.95
Jumbo CMS-1500 Envelope, Right Window, Self Seal- BLANK 100/pk
Jumbo CMS-1500 Envelope, Right Window, Self Seal- BLANK 100/pk
$22.95

Recently Viewed Items

Browse Similar Items