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UB04-One Part Continuous, Removable Margins, 2500 EA/CT

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TOPS

TOP 59770R

Product Description

The UB-04 is the form hospitals and institutions use to file a medical claim with the patient's insurance company.Use TOPS UB-04 forms with confidence.They meet the requirements of the Centers for Medicare and Medicaid Services (CMS). 1 part continuous.

Availability: In stock

$201.36
Must be purchased in multiples of 1 carton
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