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  4. Medical Forms
  5. Claim Forms

UB04 Hospital Claim Continuous Forms, 1-Part, Box Of 2,500

UB04 Hospital Claim Continuous Forms, 1-Part, Box Of 2,500
Store: Office Depot
Last Price: 81.19 USD

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Product info

Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims

Price History

Cheapest price in the interval: 77.99 on January 16, 2022

Most expensive price in the interval: 81.19 on February 2, 2022