UB-O4 LASER FORMS

Item# ublafoforlap

Product Description

UB-04 (UB92)

According to CMS, a CMS 1500 (HCFA 1500) form is used by non-institutional providers to bill Medicare Part B covered services and some Medicaid services. UB-04 (UB-92) forms are generally used for Medicare Part A services. Some private insurance carriers may also accept claims filed on CMS 1500 (HCFA 1500) forms. For more information go to http://www.cms.hhs.gov or http://www.nucc.org

GROUND FREIGHT PAID WITHIN THE 48 CONTIGUOUS UNITED STATES - FOR EXPEDITED OR SPECIALTY SHIPPING COSTS MUST BE CALCULATED SEPARATELY - ANY QUESTIONS CALL 800-841-0200

(If you are outside the 48 contiguous United States please call 800-841-0200 or 912-437-3192 to place your order - shipping costs for you must be calculated separately.)

IF YOU CAN'T FIND YOUR PRODUCT HERE OR IF YOU NEED LARGE QUANTITY PRICING CALL 800-841-0200

NICE PEOPLE ANSWER THE PHONE (with possibly 1 exception!)

BE SURE TO BOOKMARK THIS PAGE FOR YOUR RETURN VISIT :)

$64.00, 3/$174.00, 8/$448.00, 10/$540.00
S59CASE
$24.80, 2/$45.20, 3/$60.00
LASER UB-04 S59REAM