UB-04 Hospital Claim Form for Laser Printers | Staples®
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UB-04 Hospital Claim Form for Laser Printers

UB-04 Hospital Claim Form for Laser Printers

Item: 683689    Model: UB04LC

UB-04 Hospital Claim Form for Laser Printers
5.0stars
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  • Easily file a medical claim with a patient's insurance carrier
  • File a hard copy of each claim with patient records in case you need to resubmit a claim
  • Compatible with laser printers
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  • FREE SHIPPING, Plus up to 5% back for Rewards Members
  • Special Financing Available  Learn More
  • In Stock Online
  • Expected Delivery:7 - 14 Business Days
  • FREE Shipping to store ( Learn More )
  • Online Only
20% off with coupon 26963 at checkoutEasily file a medical claim with a patient's insurance carrierFile a hard copy of each claim with patient records in case you need to resubmit a claimCompatible with laser printersOffer Expires on 02/20/20162,500/Box**While supplies last. May not be valid in combination with other offers. Offer subject to change.Easily file a medical claim with a patient's insurance carrierFile a hard copy of each claim with patient records in case you need to resubmit a claimCompatible with laser printershttp://www.staples.com/Save-on-Envelopes-and-Forms/cat_BI1290289UB-04 Hospital Claim Form for Laser Printers/sbd/img/res/ic/ic016-spcbuy.gif20% off with coupon 26963 at checkout68.99USDhttp://www.staples-3p.com/s7/is/image/Staples/s0200843_sc7?$std$http://www.staples-3p.com/s7/is/image/Staples/s0200843_sc7?$thb$/sbd/img/res/ic/ic016-spcbuy.gifhttp://www.staples-3p.com/s7/is/image/Staples/s0200843/UB-04-Hospital-Claim-Form-for-Laser-Printers/product_683689
$68.99
2,500/Box

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