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Paris Business Products UB04 Claim Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 Forms 1 of 1
$200.57
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$162.99  Free Budget Shipping
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Condition:  Brand New
In Stock: Usually Ships within 24 hours
45 day return policy
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Product Details:

Mfg Part#: 05109
Sku: 230771780
UPC: 090146051097
UPC 14: 00090146051097
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Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.
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