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Boxes of 2,500 Forms Boxes of 2,500 Forms
Medical Forms UB04LC

UB04 Claim Forms For Laser Printers

UB04 Laser Forms are fully updated with the latest form revisions. The form is 100% compliant with UCCI requirements and designed for use with most laser or inkjet printers. Form measurements: 8.5 X 11 Uses OCR "dropout" red ink for greater scanning accuracy Available in Boxes of 2,500 Forms
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SKU: UB04LC
$79.95

UB04 Laser Forms are fully updated with the latest form revisions. The form is 100% compliant with UCCI requirements and designed for use with most laser or inkjet printers.
Form measurements: 8.5 X 11
Uses OCR "dropout" red ink for greater scanning accuracy

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Blank CMS-1500 (HCFA) Form 02/12 for Laser Printers

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CMS-1500 Laser Forms (Version 02/12) are: 100% compliant Printed to exact specifications for layout, paper and ink Uses soy-based black and OCR "dropout" red ink for greater scanning accuracy Designed for use with most laser or inkjet printers or can be handwritten Feature Anti-Rejection Protection™ - guaranteed acceptance by insurance carriers for rejection proof claim filing Printed on Sustainable Foresty Initiative (SFI) paper Size: 8.5" x 11" Available in Boxes of 2,500 Forms

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