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    "Tops Ub-04 Hospital Claim Form - 1 Part - 11"" X 9.50"" Form Size - 2500 / Carton (59770R)"

    "Tops Ub-04 Hospital Claim Form - 1 Part - 11"" X 9.50"" Form Size - 2500 / Carton (59770R)"

    UB-04 continuous forms are designed for hospitals to file a claim with the patient's insurance company. The Health Care Finance Administration format ensures accuracy in reporting all necessary information. Forms meet the requirements of the Centers... more

    $96.02

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    TOPS UB-04 Hospital Claim Form TOP59770R

    TOPS UB-04 Hospital Claim Form TOP59770R

    UB-04 continuous forms are designed for hospitals to file a claim with the patient's insurance company. The Health Care Finance Administration format ensures accuracy in reporting all necessary information. Forms meet the requirements of the Centers... more

    $127.76 $114.40

    FREE shipping

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    Best Seller
    "Tops Ub-04 Hospital Claim Form - 1 Part - 11"" X 8.50"" Form Size - 2500 / Carton (59870R)"

    "Tops Ub-04 Hospital Claim Form - 1 Part - 11"" X 8.50"" Form Size - 2500 / Carton (59870R)"

    UB-04 laser-cut forms are designed for medical offices to file a claim with the patient's insurance company. The Health Care Finance Administration format ensures accuracy in reporting all necessary information. Forms meet the requirements of the... more

    $110.03

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    Tops UB-04 Hospital Claim Form

    Tops UB-04 Hospital Claim Form

    UB-04 continuous forms are designed for hospitals to file a claim with the patient's insurance company. The Health Care Finance Administration format ensures accuracy in reporting all necessary information. Forms meet the requirements of the Centers... more

    $76

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    Tops UB-04 Hospital Claim Form

    Tops UB-04 Hospital Claim Form

    UB-04 laser-cut forms are designed for medical offices to file a claim with the patient's insurance company. The Health Care Finance Administration format ensures accuracy in reporting all necessary information. Forms meet the requirements of the... more

    $69

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    UB-04 Hospital Claim Form Laser-Cut Sheet (1,000/case), White

    UB-04 Hospital Claim Form Laser-Cut Sheet (1,000/case), White

    UB-04 Hospital Claim Form Laser-Cut Sheet (1,000/case) Printed in OCR red dropout ink 20# Environmental Paper Alliance (EPA) Recycled Paper (White) 1,000/case more

    $33.25

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    Xerox Multipurpose Pastel Colored Paper, 20-lb, Letter, Salmon, 500 Sheets/Ream (XER3R11058)

    Xerox Multipurpose Pastel Colored Paper, 20-lb, Letter, Salmon, 500 Sheets/Ream (XER3R11058)

    Multipurpose Pastel Colored Paper. Add the impact of color to your documents when using pastel colored paper. Delivers digitally optimized performance. Perfect for all your printing needs. Size: 8 1/2 x 11; Paper Color(s): Salmon; Paper Weight: 20 lb. more

    $5

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    TOPS UB04 Hospital Insurance Claim Form

    TOPS UB04 Hospital Insurance Claim Form

    TOPS UB04 Hospital Insurance Claim Form more

    $242.94

    FREE shipping

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    UB04 Claim Forms, 8 1/2 x 11, 2500 Forms PRB05108

    UB04 Claim Forms, 8 1/2 x 11, 2500 Forms PRB05108

    UB-04 billing forms speed up Medicare, Medicaid or private insurance claims processing and meet all government regulations. Forms also meet all requirements of the Centers for Medicare and Medicaid Services (CMS). Laser-cut sheets are cut to... more

    $99.64

    FREE shipping

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    More information about Paper

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