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Health Insurance Claim Forms and Envelopes

UB-04 Hospital Claim Form Laser Cut Sheet UB04LC (Qty. 2,500) Part# 8231

UB-04 Hospital Claim Form Laser Cut Sheet UB04LC (Qty. 2,500) Part# 8231

  • Easily file a medical claim with a patient's insurance carrier
  • File a hard copy of each claim with patient records in case you need to resubmit a claim
  • Compatible with laser printers

Retail PriceQuantity Desired
$45.00
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