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

SKU:
ESPRB05110
|
UPC:
090146051103
$32.99
$184.44
(You save $151.45 )
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Weight:
31.00 Ounces
Width:
10.00 (in)
Height:
9.00 (in)
Depth:
11.50 (in)
Current Stock:

Out of stock

Out of Stock
Description
Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. UB04 Hospital Insurance Claim Forms. Form Size: 9 1/2 x 11; Forms Per Page: 1; Form Quantity: 1000; Sheet Size: 9 1/2 x 11.
Package Includes: Includes 1,000 forms.