Description

Envelope Image

Qty./Case

Price/Case

#10 Right Window for CMS/HCFA 1500
9-1/2" x 4-1/8"

ITEM # D38

500

$29.20

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9"x12.5" Right Window
for CMS/HCFA 1500

ITEM # D36

500

$89.60

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#10 Left Window for UB-04
9-1/2" x 4-1/8"

ITEM # DUBENV10

500

$29.20

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9"x12.5" Left Window for UB-04

ITEM # DUB04CAT

500

$89.60

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NEW!
9"x 5-13/16" for UB-04
Simply fold the UB04 in half and insert!
The envelope has an inside tint for HIPAA compliance and moistenable gum flap.

ITEM # DUBENVMED

500

$63.73

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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.