UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms
$248.22
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Description
Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. UB04 Hospital Insurance Claim Forms. Form Size: 9 1/2 x 11; Forms Per Page: 1; Form Quantity: 1000; Sheet Size: 9 1/2 x 11.
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| Weight | 0.00 oz |
|---|---|
| Dimensions | 0.00 × 0.00 × 0.00 in |
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