Ub04 Claim Forms, 2 Part Continuous White/canary, 9 1/2 X 11, 1000 Forms

Expedite Medicare, Medicaid or private insurance claims processing.
Forms meet all Federal regulations.
Formerly known as HCFA-1500 forms.

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Expedite Medicare, Medicaid or non-public insurance coverage claims processing. Paperwork meet all Federal rules. Previously referred to as HCFA-1500 Paperwork.
Expedite Medicare, Medicaid or non-public insurance coverage claims processing.
Paperwork meet all Federal rules.
Previously referred to as HCFA-1500 Paperwork.

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