Pay in 4 interest-free payments of $11.50 Learn more
Ships within 48 hours · Estimated delivery Aug 16 - Aug 21
This pack of Employee Attendance Record Forms comes shrink-wrapped in packages of 25 forms
Label Size - Each label measures 3-3/8 x 2-1/3 inches round and there are 8 labels on a letter-size sheet (8
organizing
2 full Horizontal perforations 3
itemized to do list
UB-04 Hospital Claim Form Laser-Cut Sheet (1,000/case) IS2X1 4ACROSS This pack of Employee AttendanceUBO4 Medical claim forms have replaced the UB92 forms and are used by hospitals, clinics, laser surgery centers, and ambulatory surgery centers to bill medical insurance claims to the insurance carriers. UB04 CMS 1450 Medical Claim Forms, 500 Single Sheets These are the latest UB04 claim forms (also called CMS 1450 and formerly the UB92 form) This is the latest newest form that accommodates reporting of the National Provider Identifier (NPI) number
US$ 16.00
US$ 30.00
US$ 16.00
US$ 12.00
US$ 115.00
