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CMS Health Insurance Forms for Continuous Form Dot-Matrix Printers
- Per Federal regulations, all Health Care Providers must use the CMS forms
- File a hard copy of each claim with patient records in case you need to resubmit a claim
- Available in one or two-part
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Expected Delivery3 - 5 Business Days
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- Price:
- As low as
- $64.99
- 1,000/Pack
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CMS Health Insurance Envelopes
- All envelopes have security lining
- Available in (9-1/2" x 4-1/2") & (9" x 12-1/2")
- Compatible with Dot-Matrix and Laser printers
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Expected Delivery3 - 5 Business Days
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- Price:
- As low as
- $21.99
- 100/Box
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Item 683689
Model UB04LC
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UB-04 Hospital Claim Form for Laser Printers
- 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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Expected Delivery3 - 5 Business Days
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Qty.
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UB-04 Hospital Claim Form for Dot-Matrix Printers
- 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
- Available in one, two, three and four-part forms
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Expected Delivery3 - 5 Business Days
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- Price:
- As low as
- $52.99
- 2,500/Box
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Item 519753
Model 1492LL
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UB-92/UB-04 Hospital Claim Envelopes, 9" x 12-1/2"
- UB-92 matching jumbo envelopes
- 9" x 12-1/2"
- Compatible with Laser and Dot-Matrix printers
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Expected Delivery3 - 5 Business Days
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Qty.
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