Pinfeed Printer UB04 (HCFA 1450) Forms. 1 carton minimum quantity. Ships in 24 hours.
NEW UB04 (HCFA 1450) forms for pinfeed printers.
OCR scanable paper - 1st copy.
100% compatible with UCCI requirements.
This is the NEW UB04 (HCFA 1450) form mandated in 2007, adding the split provider identifier fields for NPI numbers.
Minimum order is 1 carton pinfeed compatiible UB04 forms.
24 hour turnaround.
Expedited shipping available.
2500 forms per carton-1 part forms
1000 forms per carton-2 part forms
500 forms per carton-3 part forms
Minimum order is 1 carton of UB04 (HCFA 1450) forms.