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  4. Medical Forms
  5. Claim Forms

UB04 Hospital Claim Continuous Forms, 1-Part, Box Of 1,000

UB04 Hospital Claim Continuous Forms, 1-Part, Box Of 1,000
Store: Office Depot
Last Price: 47.89 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: 45.99 on January 16, 2022

Most expensive price in the interval: 47.89 on February 2, 2022