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  • UB-04

UB-04 Claim Form, Laser Cut Style, 2500 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. 2500 individual sheets per case for $59.95 and Free Shipping!


SKU:
UB04LC
Price:
$59.95
Shipping:
Free Shipping
Quantity:



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