UB 04 Laser Form

UB 04 Laser Form
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Price: $69.00
Weight: 28.00 lbs
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Quantities: 2500 per package



UB04 Forms are medical insurance claim forms used by facilities such as hospitals, inpatient and outpatient clinics and surgery centers to bill insurance companies for services rendered. The UB04’s are similar to the CMS or HCFA 1500 forms.

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