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: $51.00
Unit Qty: 2500
Unit: case
Overall Dimensions: 8-1/2” x 11”H


Product Code: UB-04-LAS
Qty:

Description Freight, Returns & Sales Tax Policies
 
CMS 1450– Laser Sheet

Products Frequently Bought Together
TAB Match Year Label Custom 6 Tab Fileback Set Double Ply Top Tab Pocket Poly Stick-On Pockets
Your Price: $13.95

Add
Your Price: $3.18

Add Free Shipping
Your Price: $79.95

Add Free Shipping
Your Price: $45.95

Add Free Shipping
Year Label <!004>Custom 6 Tab Fileback Set Double Ply Top Tab Pocket Poly Stick-On Pockets
Outguides Custom 6 Tab Divider Set Month Label Heavy Duty Vinyl Stick-On Pockets
Your Price: $79.50

Add Free Shipping
Your Price: $2.43

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Your Price: $55.95

Add Free Shipping
Outguides <!004>Custom 6 Tab Divider Set Month Label Heavy Duty Vinyl Stick-On Pockets
ALLERGY LABEL Radiology Jacket 36" Wide File Shelving QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet
Your Price: $10.95

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Your Price: $725.00

Add Free Shipping
Your Price: $185.00

Add Free Shipping
ALLERGY LABEL Radiology Jacket Non-Color Coded 36 Single Entry Letter Size 4 Post Starter Unit QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet
Numeric Label 11 pt 2 Ply Color End Tab Folders End Tab Expansion Pockets Medi-Clip/Docu-Clip
Your Price: $22.95

Add Free Shipping
Your Price: $240.00

Add Free Shipping
Your Price: $79.00

Add Free Shipping
Your Price: $49.95

Add Free Shipping
Numeric Label 11pt Reinforced Solid Color End Tab Folders <!001>End Tab Expansion Pockets Docuclip  Fastener
Bilingual Privacy Patient Sign-In Alpha Label Barkley Match Times 2 Speed Cabinet ACS Sliding Lateral Track
Your Price: $85.95

Add Free Shipping
Your Price: $13.95

Add
Your Price: $4,500.00

Add
Your Price: $6,500.00

Add Free Shipping
Bilingual Privacy Patient Sign-In Barkley FABKM Match Times 2 Speed Files ACS Lateral Track Movable Shelving Systems
11 pt Manila 2 Ply End Tab 14 pt Manila 2 Ply End Tab Custom 8 Tab Poly Divider Set
Your Price: $48.95

Add
Your Price: $56.95

Add Free Shipping
Your Price: $4.69

Add Free Shipping
Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder Heavy Duty 14 pt Manila 2 Ply End Tab Folder <!010>Custom 8  Tab Poly Divider Set

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)
MEDICAL / CHIROPRACTIC > Medical Forms
DENTAL > Dental Forms
Medical Forms and Books


$10.95
$23.95
$98.00
$14.95