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UB04 Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms

Manufacturer: Paris Business Products

  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.

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UB04 Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms

PRB05110

CT $188.82 each