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    TOPS UB-04 Continuous Forms 1 Part - 11 x 9.50 Form Size - White - Red Print Color - 2500 / Carton

    TOPS UB-04 Continuous Forms 1 Part - 11 x 9.50 Form Size - White - Red Print Color - 2500 / Carton

    UB-04 continuous forms are designed for hospitals to file a claim with the patient s insurance company. The Health Care Finance Administration format ensures accuracy in reporting all necessary information. Forms meet the requirements of the Centers... more

    $115.30 $98.01

    FREE shipping

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    UB-04 Hospital Claim Form 1-Part Continuous 2 500/case

    UB-04 Hospital Claim Form 1-Part Continuous 2 500/case

    UB-04 Hospital Claim Form 1-Part Continuous 2 500/case Printed in OCR red dropout ink; 20# Environmental Paper Alliance EPA Recycled Paper White; 2 500/case more

    $87.35

    FREE shipping

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    UB-04 Hospital Claim Form Laser-Cut Sheet (1 000/case)

    UB-04 Hospital Claim Form Laser-Cut Sheet (1 000/case)

    Thank you for your custom.Customer care is our top priority. Offer is subject to availability.We promise you won t regret buying it. UB04 / CMS 1450 Medical Claim Forms 500 Single Sheets se are latest UB04 claim forms (also ced CMS 1450 and formerly... more

    $58.62

    FREE shipping

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    UB-04 Hospital Claim Form Laser-Cut Sheet (1 000/case)

    UB-04 Hospital Claim Form Laser-Cut Sheet (1 000/case)

    Thank you for your custom.Customer care is our top priority. Offer is subject to availability.We promise you won t regret buying it. UB04 / CMS 1450 Medical Claim Forms 500 Single Sheets se are latest UB04 claim forms (also ced CMS 1450 and formerly... more

    $58.62

    FREE shipping

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    UB-04 (CMS-1450) Health Hospital Insurance Claim Form Laser 8-1/2 x 11 - Pack of 100 Forms

    UB-04 (CMS-1450) Health Hospital Insurance Claim Form Laser 8-1/2 x 11 - Pack of 100 Forms

    UB-04 (CMS-1450) Health Hospital Insurance Claim Form Laser 8-1/2 x 11 - Pack of 100 Forms more

    $28.00

    FREE shipping

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    UB-04 Hospital Claim Form Laser-Cut Sheet (1 000/case)

    UB-04 Hospital Claim Form Laser-Cut Sheet (1 000/case)

    UB-04 Hospital Claim Form Laser-Cut Sheet (1 000/case) more

    $31.96

    FREE shipping

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    UB-04 Hospital Claim Form Laser-Cut Sheet (2 500/case)

    UB-04 Hospital Claim Form Laser-Cut Sheet (2 500/case)

    UB-04 Hospital Claim Form Laser-Cut Sheet (2 500/case) more

    $69.99

    FREE shipping

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    UB-04 (CMS-1450) Health Hospital Insurance Claim Form Laser 8-1/2 X 11 - Pack Of 100 Forms

    UB-04 (CMS-1450) Health Hospital Insurance Claim Form Laser 8-1/2 X 11 - Pack Of 100 Forms

    UB-04 (CMS-1450) Health Insurance Claim Form Laser / Inkjet Format 24-lb 8.5 x 11-inch (Letter Size) 100% Compliant with Approved Update to HCFA / CMS 1450 Health Claim Form more

    $32.60

    FREE shipping

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    UB-04 Hospital Claim Form Laser-Cut Sheet (1 000/case)

    UB-04 Hospital Claim Form Laser-Cut Sheet (1 000/case)

    UBO4 Medical claim forms have replaced the UB92 forms and are used by hospitals clinics laser surgery centers and ambulatory surgery centers to bill medical insurance claims to the insurance carriers. more

    $41.41

    FREE shipping

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    UB-04 Hospital Claim Form Laser-Cut Sheet 1 000/case

    UB-04 Hospital Claim Form Laser-Cut Sheet 1 000/case

    UBO4 Medical claim forms have replaced the UB92 forms and are used by hospitals clinics laser surgery centers and ambulatory surgery centers to bill medical insurance claims to the insurance carriers. more

    $39.73

    FREE shipping

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    CodYinFI UB-04 Hospital Claim Envelope | Pack of 500

    CodYinFI UB-04 Hospital Claim Envelope | Pack of 500

    As more insurance companies convert to optically scanning your claim forms the need to mail them unfolded becomes increasingly important. When claim forms are folded they may jam the automatic scanning equipment and delay the processing of claims.... more

    $85.75

    FREE shipping

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    UB-04 CMS 1450 Health Hospital Insurance Claim Form Laser 8-1/2 x 11 500 Per Pack

    UB-04 CMS 1450 Health Hospital Insurance Claim Form Laser 8-1/2 x 11 500 Per Pack

    CMS-1450 / UB-04 Form Next Day Labels UB04 / CMS 1450 forms are completely compliant with NUBC format and coding requirements: more

    $28.38

    FREE shipping

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    MYXIO UB-04 Hospital Claim Envelope | Pack of 500

    MYXIO UB-04 Hospital Claim Envelope | Pack of 500

    As more insurance companies convert to optically scanning your claim forms the need to mail them unfolded becomes increasingly important. When claim forms are folded they may jam the automatic scanning equipment and delay the processing of claims.... more

    $109.76

    FREE shipping

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    UB-04 CMS 1450 Health Hospital Insurance Claim Form Laser 8-1/2 x 11 100 Forms Per Pack

    UB-04 CMS 1450 Health Hospital Insurance Claim Form Laser 8-1/2 x 11 100 Forms Per Pack

    CMS-1450 / UB-04 Form Next Day Labels UB04 / CMS 1450 forms are completely compliant with NUBC format and coding requirements: more

    $19.99

    FREE shipping

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    9-1/2 x11 UB-04 2 Part Continuous

    9-1/2 x11 UB-04 2 Part Continuous

    9-1/2 x11 UB-04 2 Part Continuous more

    $84.65

    FREE shipping

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    Hospital Claim Form 1-Part Continuous (2 500/Case)

    Hospital Claim Form 1-Part Continuous (2 500/Case)

    UB-04 Hospital Claim Form 1-Part Continuous (2 500/Case) more

    $125.29

    FREE shipping

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    Hospital Claim Form 1-Part Continuous (2 500/Case)

    Hospital Claim Form 1-Part Continuous (2 500/Case)

    UB-04 Hospital Claim Form 1-Part Continuous (2 500/Case) more

    $125.29

    FREE shipping

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    TFP UB-04 CMS-1450 1-Part Health Insurance Claims UB04LC

    TFP UB-04 CMS-1450 1-Part Health Insurance Claims UB04LC

    Complete billing tasks with these TFP UB-04 one-part hospital claim forms. Ensure proper processing of medical procedures and patient care with these hospital claim forms. The 20-pound bond paper offers added durability and is easy to load in office... more

    $59.92

    FREE shipping

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    Tfp Ub-04 Cms-1450 1-Part Health Insurance Claims 2500/Carton (Ub04lc)

    Tfp Ub-04 Cms-1450 1-Part Health Insurance Claims 2500/Carton (Ub04lc)

    Complete billing tasks with these TFP UB-04 one-part hospital claim forms. Ensure proper processing of medical procedures and patient care with these hospital claim forms. The 20-pound paper offers added durability and is easy to load in office... more

    $77.44

    FREE shipping

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    Tfp Ub-04 Cms-1450 1-Part Health Insurance Claims 2500/Carton (Ub04lc)

    Tfp Ub-04 Cms-1450 1-Part Health Insurance Claims 2500/Carton (Ub04lc)

    Thank you for your custom.Customer care is our top priority. Offer is subject to availability.We promise you won t regret buying it. Sold 2500/Cart. State:IL - Illinois. Type:Poster. Sold individually. Printed with OCR dropout red white paper. more

    $87.76

    FREE shipping

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    (CMS-1450) Health Hospital Insurance Claim Form Laser 8-1/2 X 11 - Pack Of 100 Forms

    (CMS-1450) Health Hospital Insurance Claim Form Laser 8-1/2 X 11 - Pack Of 100 Forms

    UB-04 (CMS-1450) Health Insurance Claim Form Laser / Inkjet Format 24-lb 8.5 x 11-inch (Letter Size) 100% Compliant with Approved Update to HCFA / CMS 1450 Health Claim Form more

    $32.60

    FREE shipping

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    (CMS-1450) Health Hospital Insurance Claim Form Laser 8-1/2 X 11 - Pack Of 100 Forms

    (CMS-1450) Health Hospital Insurance Claim Form Laser 8-1/2 X 11 - Pack Of 100 Forms

    UB-04 (CMS-1450) Health Insurance Claim Form Laser / Inkjet Format 24-lb 8.5 x 11-inch (Letter Size) 100% Compliant with Approved Update to HCFA / CMS 1450 Health Claim Form more

    $32.60

    FREE shipping

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    Health Hospital Insurance Claim Form Laser 8-1/2 X 11 - Pack Of 100 Forms

    Health Hospital Insurance Claim Form Laser 8-1/2 X 11 - Pack Of 100 Forms

    UB-04 (CMS-1450) Health Insurance Claim Form Laser / Inkjet Format 24-lb 8.5 x 11-inch (Letter Size) 100% Compliant with Approved Update to HCFA / CMS 1450 Health Claim Form more

    $32.60

    FREE shipping

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    TOPS UB04 Health Care Form Revised HCFA Compliant 59770R

    TOPS UB04 Health Care Form Revised HCFA Compliant 59770R

    Revised Format. AMA approved format. The UB-04 is the form hospitals and institutions e to file a medical claim with the patient s insurance company. e TOPS UB-04 forms with confidence. They meet the requirements of the Centers for Medicare and... more

    $19.65

    FREE shipping

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    Tops Billing Forms - White - 8.5 in. x 11 in.

    Tops Billing Forms - White - 8.5 in. x 11 in.

    Designed for medical offices to file a claim with the patient s insurance company these UB-04 laser-cut forms meet the requirements of the Centers for Medicare and Medicaid Services (CMS) and ensure accuracy in reporting all necessary information.... more

    $207.87

    FREE shipping

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    Tops UB-04 Hospital Claim Form

    Tops UB-04 Hospital Claim Form

    UB-04 laser-cut forms are designed for medical offices to file a claim with the patient's insurance company. The Health Care Finance Administration format ensures accuracy in reporting all necessary information. Forms meet the requirements of the... more

    $98

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