We Have the New UB-04 Forms CLICK HERE

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We are not accepting returns on old version
of UB92/ HCFA-1450 forms.

Description

Qty./Case

Price/Case

Order Secure

LASER
Ink jet, bubble jet printer compatible

2500

$35.00

CLICK HERE TO
ORDER SECURE

1 PART CONTINUOUS
Single sheet, tractor feed forms for dot matrix printer

2500

$35.00

2 PART CONTINUOUS
Original with copy tractor feed forms for dot matrix printer

1000

$42.95

3 PART CONTINUOUS
Original plus 2 copies tractor feed forms for dot matrix printer

500

$35.00

4 PART CONTINUOUS
Original plus 3 copies tractor feed forms for dot matrix printer

500

$43.10

ALL OUR FORMS ARE OF THE HIGHEST QUALITY,  ARE PRINTED IN STRICT COMPLIANCE  WITH GOVERNMENT SPECIFICATIONS AND ARE APPROVED BY MEDICARE, THE HEALTH CARE FINANCE ADMINISTRATION AND THE INSURANCE INDUSTRY.