UB04 CLAIM FORMS, 2 PART CONTINUOUS WHITE/CANARY, 9 1/2 X 11, 1000 FORMS

PARIS BUSINESS PRODUCTS: UB04 CLAIM FORMS, 2 PART CONTINUOUS WHITE/CANARY, 9 1/2 X 11, 1000 FORMS

Item Number: PRB05110

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$197.99

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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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