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ESPRB05110 - Ub04 Insurance Claim Form, 2-Part, White-canary, 9 1-2 X 11, 1000 Forms

Product Description
$44.55
Maximum quantity available reached.
Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. Form Size: 9 1/2 x 11
Forms Per Page: 1
Form Quantity: 1000
Sheet Size: 9 1/2 x 11.
Unit of Measure : Carton of 1000
Sku: ESPRB05110

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