Description
Respond to this Ad500 Single sheets for Laser or Inkjet printers.
Payment must be received prior to shipping
Please note: CMS 1450 and UB04 are the same forms. CMS 1450/UB04 is the new name, This is the latest/newest form that accommodates reporting of the National Provider Identifier (NPI) number
Only Company that ships to Hawaii, Alaska and Puerto Rico for FREE!
Also CMS 1500 also known as (HCFA 1500) forms are also available.
Call Pete at: 904-614-8145
Price:25.00