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UB-04 Hospital Claim Form Laser Cutsheet:
UB-04 Hospital Claim Form Laser Cutsheet
Item #: UB04LC
UB-04 form is designed for hospitals, skilled nursing, home health care facilities and other institutional health care providers to file medical claims with the patient's insurance carrier.



Product Details
  • UB-04 Hospital Claim Form Laser Cutsheet
  • White
  • 2500/Carton