UB04 CLAIM FORMS, 1 PART CONTINUOUS WHITE, 9 1/2 X 11, 2500 FORMS

PARIS BUSINESS PRODUCTS: UB04 CLAIM FORMS, 1 PART CONTINUOUS WHITE, 9 1/2 X 11, 2500 FORMS

Item Number: PRB05109

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$166.76

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

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