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ub 04 forms

NEW UB 04Forms

We have the new version of the UB 04Forms which are NPI ready.

They are single sheet forms suitable for either ink jet or laser printers.

Shipping is FREE inside the continental US!

2500 Forms	ONLY $46.25 - FREE SHIPPING!
100 Forms	ONLY $11.95 - FREE SHIPPING!

NOTE* The UB 04 Claim Forms we offer are compliant with the Medicare specifications.

Payment Options:

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