UB04 HCFA 1450


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Title UB04 HCFA 1450
Description

Used by hospitals to bill L&I for inpatient/outpatient services. This version includes NPI number.

Document number F245-367-000
How to get this document
Keywords billing, bills, hospital, inpatient, outpatient
Alt Language(s)
Valid dates
Contact information Claims for Job Injuries
Websites For Medical Providers

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