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  • UB-04

UB-04 Claim Form, Laser Cut Style, 1000 sheets per Case

UB-04 Health Care Insurance Billing Claim Forms for Institutional and Hospital Providers. This product is the most recent and compliant version of the UB-04 Claim Form. It is packaged in the most popular Laser cut style, single sheet version of the form. 1000 individual sheets per case for $49.95 and FREE Shipping!


SKU:
UB04LC1
Price:
$49.95
Shipping:
Free Shipping
Quantity:



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