UB-04 CMS-1450 Universal Billing Form - Patterson Office Supplies

The UB-04 CMS-1450 is the uniform claim form used by institutions such as hospitals and nursing homes. Printed in OCR red ink, this form meets all CMS current printing standards.
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Patterson Item #
Mfg Item #
Price
Qty
UB-04 CMS-1450 Universal Billing Form, Laser Compatible Single-Sheets, Nonpersonalized, 8-1/2" W x 11" H, 500/Pkg
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Auto Free Good
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My Catalog
My Catalog (Rep)
On Formulary
Prescription
Hazmat-Chargeable
Hazmat-No Charge
MSDS / SDS
Additional Information
Schedule 2 and 2N
Schedule 3, 3N, 4 and 5
List 1
Prices in Green indicate discounted price.