Home > MEDICAL / CHIROPRACTIC > Medical Forms > CMS, UB-04,ADA-Medical Claim > UB-04 Claim Forms >

UB-04 Claim Form
UB-04 Claim Form
 
Your Price: $89.00
Unit Qty: 1000
Unit: case
Overall Dimensions: 9-1/2”W x 11”H


Product Code: UB-04-3
Qty:

Description Freight, Returns & Sales Tax Policies
 
CMS 1450  Continuous 3 Parts

Products Frequently Bought Together
Heavy Duty Vinyl Stick-On Pockets Times 2 Speed Cabinet Custom 6 Tab Divider Set Radiology Jacket
Your Price: $55.95

Add Free Shipping
Your Price: $4,500.00

Add
Your Price: $2.43

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Heavy Duty Vinyl Stick-On Pockets Times 2 Speed Files <!004>Custom 6 Tab Divider Set Radiology Jacket Non-Color Coded
14 pt Manila 2 Ply End Tab 11 pt Manila 2 Ply End Tab Alpha Label Barkley Match Month Label
Your Price: $56.95

Add Free Shipping
Your Price: $48.95

Add
Your Price: $13.95

Add
Your Price: $10.95

Add Free Shipping
Heavy Duty 14 pt Manila 2 Ply End Tab Folder Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder Barkley FABKM Match Month Label
36" Wide File Shelving ALLERGY LABEL Outguides Custom 8 Tab Poly Divider Set
Your Price: $725.00

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Your Price: $79.50

Add Free Shipping
Your Price: $4.69

Add Free Shipping
36 Single Entry Letter Size 4 Post Starter Unit ALLERGY LABEL Outguides <!010>Custom 8  Tab Poly Divider Set
Custom 6 Tab Fileback Set Double Ply Top Tab Pocket Poly Stick-On Pockets End Tab Expansion Pockets
Your Price: $3.18

Add Free Shipping
Your Price: $79.95

Add Free Shipping
Your Price: $45.95

Add Free Shipping
Your Price: $79.00

Add Free Shipping
<!004>Custom 6 Tab Fileback Set Double Ply Top Tab Pocket Poly Stick-On Pockets <!001>End Tab Expansion Pockets
Numeric Label Bilingual Privacy Patient Sign-In QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Medi-Clip/Docu-Clip
Your Price: $22.95

Add Free Shipping
Your Price: $85.95

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Your Price: $49.95

Add Free Shipping
Numeric Label Bilingual Privacy Patient Sign-In QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Docuclip  Fastener
TAB Match Year Label ACS Sliding Lateral Track 11 pt 2 Ply Color End Tab Folders
Your Price: $13.95

Add
Your Price: $6,500.00

Add Free Shipping
Your Price: $240.00

Add Free Shipping
Year Label ACS Lateral Track Movable Shelving Systems 11pt Reinforced Solid Color End Tab Folders

Share your knowledge of this product with other customers... Be the first to write a review

Browse for more products in the same category as this item:

MEDICAL / CHIROPRACTIC > Medical Forms > CMS, UB-04,ADA-Medical Claim > UB-04 Claim Forms
DENTAL > Dental Forms > Dental Claim (ADA & CMS) > UB-04 Claim Forms
Medical Forms and Books > Medical Claim Forms (CMS, HCFA, UB92) > UB-04 Claim Forms
MEDICAL / CHIROPRACTIC > Medical Forms > CMS, UB-04,ADA-Medical Claim
DENTAL > Dental Forms > Dental Claim (ADA & CMS)
Medical Forms and Books > Medical Claim Forms (CMS, HCFA, UB92)


$10.95
$18.95
$133.75