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Home / Forms / UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms

UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms

UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms quantity

SKU: PRB05110 Category: Forms Tag: Forms

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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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