UB04 Hospital Claim Laser Cut Forms, 1-Part, Box Of 2,500

Item # 799126

$72.49 / case

DELIVERY ONLY

  • ✓ Free delivery
  • Est. Delivery 7-10 business days
  • ✓ In Stock
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Reg. Price $72.49
Checkout Price $72.49
Your Price $72.49
  • Description
    • Forms must adhere to strict printing standards that govern the layout, paper and ink.
    • Each form must have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA).
    • Corresponding envelopes are sold separately.
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