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CMS 1450/UB-04 Hospital Claim Form 1-Part Continuous . Paper type: White. Sold in quantities of 2500/Ctn. Paper size: 9-1/2" x 11".
CMS-1500 (02-12) 1-Part Continuous
Hospital Billing Envelope UB92 / UB04 Hospital Billing Claim Form Left Window 9 X 12 1/2", 500/Carton - 1492LL