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Home > Medical Billing Filing Solutions > Medical Claim Forms > UB-04 Hospital Claim Form 2-Part Continuous
Alternative Views:	Product Code: UB042 Qty and Price: 1,000 Qty [Add $59.60] 3,000 Qty [Add $131.20] 5,000 Qty [Add $219.20]

Description   UB-04 Hospital Claim Form 2-Part Continuous. Includes required red copy and duplicate white copy. Contact us today at 877-212-1220 for a free sample. Compatible Accessories UB-04 Hospital Claim Form Large Left Window Envelope

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