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UB04 Hospital Insurance Claim Form 8 1/2 x 11 2,500 Forms
$110.24
UB04 Hospital Insurance Claim Form 8 1/2 x 11 2,500 Forms
SKU: 8379
In Stock
UB04 Hospital Insurance Claim Form 8 1/2 x 11 2,500 Forms
SKU: 8379
In Stock
$110.24
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TOPS - UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 FormsPrinted to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Form Size: 8 1/2 x 11; Forms Per Page: 1.
- 2500 Forms / Carton
- UB04 Claim Forms For Laser Printers
- This is the NEW UB04 (HCFA 1450) adding the split provider identifier fields for NPI numbers
- 100% compatible with UCCI requirements
- Expedited shipping available
2 Part Carbonless Patients Sign in Forms (50)
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Pack of 25 Sets Patients Sign in Sheets (Purple) Confidentiality and privacy are of key importance in professional medical offices, and our Next Day Labels Patient sign-in sheets are the...
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NCR Carbonless 3 Part Patient Sign in Forms, HIPAA Approved and Compliant for Confidentiality in All Medical Offices. (Burgundy)
Burgundy color carbon-less 3 part sign in forms is required by the HIPAA, Every single patient who comes in to the doctor (medical) office will sign on the next line...
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3" x 11" Infant Band (2 Each) (Carton of 600)
3" x 11" Infant Band (2 Each) (Carton of 600)
$288.99
in stock(500)
