UB-04 Hospital Claim Form Laser-Cut Sheet (1,000/case) IS2X1 4ACROSS Each small pack includes 25

Each small pack includes 25 sheets (300 labels)

ink jet or Copy Machines

this computer paper has removable pinfeed margins to yield an 8-1/2 x 11 inch page

Seeing the rooms physically on a sheet of paper

UB-04 Hospital Claim Form Laser-Cut Sheet (1,000/case) IS2X1 4ACROSS Each small pack includes 25UBO4 Medical claim forms have replaced the UB92 forms and are used by hospitals, clinics, laser surgery centers, and ambulatory surgery centers to bill medical insurance claims to the insurance carriers. UB04 CMS 1450 Medical Claim Forms, 500 Single Sheets These are the latest UB04 claim forms (also called CMS 1450 and formerly the UB92 form) This is the latest newest form that accommodates reporting of the National Provider Identifier (NPI) number