UPC 646437700368
Barcode for UB-04 Health Hospital Insurance Claim Form, Laser 8-1/2 x 11" 100 Forms Per Pack
Scannable Barcode for UPC 646437700368
Sellers
| Marketplace | Price | Updated |
|---|---|---|
| $11.99 | 02/05/2021 08:32:47 GMT - Details |
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Attributes
| Attribute | Value |
|---|---|
| Binding | Office Product |
| Brand | Next Day Labels |
| Size | 100 |
| EAN | 0646437700368 |
| Manufacturer | Next Day Labels |
| Model | OP-7410 |
| MPN | UB04-1 |
| UPC | 646437700368 |
Description
- UB-04 Health Insurance Claim Form
- Laser / Ink-JetFormat
- 1 Part 24 8-1/2 x 11
- Accommodates reporting of the National Provider Identifier number
- 100 compliant with the approved update to the HCFA / CMS1450 health claim form
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