UB-92, HCFA 1450 Medical Claim Forms

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UB04 CLAIM FORMS (New UB04 form replaces UB92 form)
AVAILABLE IN EITHER INDIVIDUAL SHEETS OR ONE OR TWO-PART CONTINUOUS (PINFEED) FORMS ON HIGH-QUALITY PAPER TO GOVERNMENT STANDARDS.

We still have the Old Version UB-92 forms available in our On-Line Store CLICK HERE

UB 04 Forms Laser Cut

Individual Sheets

UB 04 Forms Continuous

Continuous

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TO ORDER BY PHONE
CONTACT US
TOLL FREE AT:
1-877-840-1500
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Description
UB04
CLAIM FORMS
(Replaces UB92)

Qty./
Case

Price/
Case

CLICK HERE TO

Individual Sheets

500

$19.99

Individual Sheets

2500

$35.00

1 Part Continuous

2500

$35.00

2 Part Continuous

1000

$42.95

Discounts available for large quantities.
Contract pricing available. Call for details

ALL OUR FORMS ARE OF THE HIGHEST QUALITY,  ARE PRINTED IN STRICT COMPLIANCE  WITH GOVERNMENT SPECIFICATIONS AND ARE APPROVED BY MEDICARE, THE HEALTH CARE FINANCE ADMINISTRATION AND THE INSURANCE INDUSTRY.

Order UB 92, HCFA-1450 forms, CMS-1450 forms by phone
Order UB 92 forms secure

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Covington, LA 70433
PHONE: 985-875-0800
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american hcfa forms.com
claim forms depot.com
dfl-enterprises.com
hipaa sign-in.com
hcfa1500forms.com
discountclaimforms.com

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