Skip to main content
  • $108.17
  • Free 30-day Returns
  • Volume Discounts Available
    • $103.98 ea.
    • $101.04 ea.
    Ships from United States.

    Shipped by Supplies Shops

    UB-04 Hospital Claim Form Laser-Cut Sheet (2,500/case)

    • Item #: 9SIV0TG4811075
    • Mfr. Part #: UB04LC
    +
    +
    Overview
    Specs
    Reviews
    Stay on top of health insurance claims in your medical office with the help of these UB-04 Hospital Claim Forms from The Supplies Shops. UB-04 Healthcare Form in OCR Red

    Warranty & Returns

    Warranty, Returns, And Additional Information

    Warranty

    • Please contact the Seller directly for warranty information. Warranty information may also be found on the Manufacturer's website.
    • CONTACT

    Return Policies

    Manufacturer Contact Info

    LOADING...