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Ub04 Insurance Claim Form, 2-Part, White/canary, 9 1/2 X 11, 1000 Forms
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5110 |
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PRB05110 |
Printer Brand:
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PARIS CORPORATION |
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InkMart Price:
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$ 141.32
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IN STOCK
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Quantity: |
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Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.
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