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UB-04 Claim Form Laser Cut

Reduce billing errors with the UB-04 Health Insurance Claim Form... for use by hospitals and institutions.  The UB-04 Claim Form is designed for hospitals to file a medical claim with the patient's insurance carrier.  The UB-04 Claim Form Laser Cut is offered in quantities of 25, 50, 100, 500, 1000, & 2500.



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