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UB-04 Hospital Claim Form Laser Cutsheet:

Home > Billing & Insurance > Hospital Claim

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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

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