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UB-04 Hospital Claim Form 2-Part Continuous
UB-04 Hospital Claim Form 2-Part Continuous
 


Product Code: UB042


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Description
 
UB-04 Hospital Claim Form 2-Part Continuous. Includes required red copy and duplicate white copy. Contact us today at 877-212-1220 for a free sample.

Compatible Accessories
UB-04 Hospital Claim Form Large Left Window Envelope
UB-04 Hospital Claim Form Large Left Window Envelope

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