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UB-04

 All Claim Forms ship FREE Priority Mail (2-3 day) delivery. You will not be able to choose a different method in the cart.

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  1. Claims Adjustment Reason Codes

    Claims Adjustment Reason Codes

    Item

    CARC-F13

    Price

    $149.95
  2. Facility Type Codes

    Facility Type Codes

    Item

    FTC-F12

    Price

    $149.95
  3. Frequency Codes

    Frequency Codes

    Item

    FC-F12

    Price

    $149.95
  4. UB-04 Forms (CMS-1450 Forms) Laser

    UB-04 Forms (CMS-1450 Forms) Laser

    Item

    UB-04

 
 

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