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    UB-04 Paper Claim - OMB 0938-0997

    UB-04 Billing Claim Form – Paper forms – FREE Priority Shipping

    $21.00 – $39.00 Select options
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    CMS 1500 PDF for Mac and PC

    CMS 1500 Billing Package – Fillable PDF with 200 Paper Claim Forms FREE priority shipping

    $59.00 $49.00 Add to cart
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    The Uniform Bill (UB-04) is the standardized billing form for institutional services

    UB-04 Billing Package – 200 Forms w PDF – FREE Priority Shipping

    $59.00 $49.00 Add to cart
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    ADA Dental Claim Billing Package – 200 Forms w PDF – FREE Priority Shipping

    $59.00 $49.00 Add to cart
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    The Uniform Bill (UB-04) is the standardized billing form for institutional services

    UB-04 Billing Package – 500 Forms w PDF – FREE priority shipping

    $85.00 $65.00 Add to cart

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