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CCFUB921 Medical Claim UB92 HCFA -1450 Form - Continuous 1 Part

CCFUB921 Medical Claim UB92 HCFA -1450 Form - Continuous 1 Part

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Product Info:	UB92 HCFA-1450 Medical Claims OCR RED Form without barcode that is authorized by the Centers for Medicade and Medicare Services to meet all insurance claim requirements. This is a Blank 1-Part, 9 1/2" x 11" Continuous form. Packaged 2500/CTN-30 LBS.

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