UB-04 Hospital Claim Form for Laser Printers
UB-04 Hospital Claim Form for Laser Printers - available at Staples.com via our site. Use our links and Staples coupon codes for Staples promotions. Visit our Envelopes & Forms catalog page for more good deals.
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Product Features
- 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
Manufacurer/Model: TFP
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Ekonomik Wirebound Check Register, Form A. Another product to consider is the 9" x 12" Red Clasp Envelopes.
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