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Tops 1-Part Ub-04 Laser-Cut Forms - 1 Part - 11' X 8.50' Form Size - White - Red Print Color - 2500 / Carton
4.9 (42 items)
Limited Time SaleUntil the end
01
38
42
$273.74 cheaper than the new price!!
Free shipping for purchases over $99 ( Details )
Free cash-on-delivery fees for purchases over $99
Free cash-on-delivery fees for purchases over $99
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New $547.49
Product details
| Management number | 200096701 | Release Date | 2025/09/24 | List Price | $273.75 | Model Number | 200096701 | ||
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Ub-04 Laser-Cut Forms Are Designed For Medical Offices To File A Claim With The Patients Insurance Company. The Health Care Finance Administration Format Ensures Accuracy In Reporting All Necessary Information. Forms Meet The Requirements Of The Centers For Medicare And Medicaid Services (Cms). Forms Are Printed On 20 Lb. Bond Paper.
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