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Paris  UB04 Form  Hospital Insurance  1/2500 ct

Paris
UB04 Form
Hospital Insurance
1/2500 ct

Item # 599918
$118.99
  • Model:  PRB05108
  • UB04 Hospital Insurance Claim Form
  • Paper weight:  20 lb
  • Form dimensions:  8 1/2" x 11"
  • White
  • 2500 ct

Additional Features:

  • Conform to government regulations
  • Used for Medicaid, Medicare and federal insurance regulations
[Model PRB05108 - Claim]
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