|
My Cart (0)
|

Welcome! Log In or Register        How to best view this site

MED-PASS:  The Fine Art of Document Design

 
The Credit Card Checkout process has changed.  Card information is entered after pressing the "Place Order" button.
If
 you have any questions, please call MED-PASS at 1-800-438-8884.
 
MED-PASS offices will be closed Thursday, November 23 and Friday, November 24 in observance of the
Thanksgiving holiday. All orders placed after 2:00pm EST Wednesday will ship Monday, November 27
.

CMS 1450 Claim Form (UB-04), Continuous, 1 part, White paper, Red (OCR) ink - 2500/ctn

ST11843N

Availability: In stock

Price: $44.50
  • Buy 8 or more for $37.50 each and save 16%
Description
MED-PASS CMS claim forms are produced on high quality paper and printed in OCR red "drop out" ink to ensure efficient processing of claims. These claim forms are in strict compliance with government printing specifications.
Features
  • The UB-04 is the new version of the CMS-1450 claim form which became mandatory for billing Medicare on May 23, 2007.
Specifications
Unit Carton of 2500
Other Info Continuous

Product Tags

Use spaces to separate tags. Use single quotes (') for phrases.