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: 9-1/2”W x 11”H


Product Code: UB-04-1
Qty:

Description Freight, Returns & Sales Tax Policies
 
CMS 1450 Continuous 1 Part

Products Frequently Bought Together
Times 2 Speed Cabinet ACS Sliding Lateral Track Custom 6 Tab Fileback Set TAB Match Year Label
Your Price: $4,500.00

Add
Your Price: $6,500.00

Add Free Shipping
Your Price: $3.18

Add Free Shipping
Your Price: $13.95

Add
Times 2 Speed Files ACS Lateral Track Movable Shelving Systems <!004>Custom 6 Tab Fileback Set Year Label
11 pt 2 Ply Color End Tab Folders Custom 8 Tab Poly Divider Set ALLERGY LABEL 14 pt Manila 2 Ply End Tab
Your Price: $235.00

Add Free Shipping
Your Price: $4.69

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Your Price: $45.95

Add Free Shipping
11pt Reinforced Solid Color End Tab Folders <!010>Custom 8  Tab Poly Divider Set ALLERGY LABEL Heavy Duty 14 pt Manila 2 Ply End Tab Folder
Bilingual Privacy Patient Sign-In Month Label Heavy Duty Vinyl Stick-On Pockets Outguides
Your Price: $66.95

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Your Price: $36.00

Add Free Shipping
Your Price: $79.50

Add Free Shipping
Bilingual Privacy Patient Sign-In Month Label Heavy Duty Vinyl Stick-On Pockets Outguides
11 pt Manila 2 Ply End Tab Custom 6 Tab Divider Set Medi-Clip/Docu-Clip Radiology Jacket
Your Price: $42.95

Add
Your Price: $2.10

Add Free Shipping
Your Price: $42.50

Add Free Shipping
Your Price: $85.00

Add Free Shipping
Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder <!004>Custom 6 Tab Divider Set Docuclip  Fastener Radiology Jacket Non-Color Coded
Alpha Label Barkley Match 36" Wide File Shelving ACS QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheets (package of 600) Double Ply Top Tab Pocket
Your Price: $12.95

Add
Your Price: $725.00

Add Free Shipping
Your Price: $175.00

Add Free Shipping
Your Price: $79.95

Add Free Shipping
Barkley FABKM Match 36 Single Entry Letter Size 4 Post Starter Unit ACS QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheets (package of 600) Double Ply Top Tab Pocket
Poly Stick-On Pockets Numeric Label End Tab Expansion Pockets
Your Price: $24.00

Add Free Shipping
Your Price: $19.95

Add Free Shipping
Your Price: $79.00

Add Free Shipping
Poly Stick-On Pockets Numeric Label <!001>End Tab Expansion Pockets

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