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25 Canal St.,
Mohawk, NY, 13407
US

315.574.8300

Hummel's will be CLOSED on July 3rd in observance of the July 4th Holiday!

FORM,CMS,8.5X11,LSR CT,WH

Category Tax Forms
PRB05108

FORM,CMS,8.5X11,LSR CT,WH

Item Code: PRB05108
  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.

Forms-Insurance

8 1/2 x 11

Forms Per Page : 1

Form Quantity : 2500

Paper Stock : 20lb

UB04 Hospital Insurance Claim Forms

Category Tax Forms

Description

  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.

Forms-Insurance

8 1/2 x 11

Forms Per Page : 1

Form Quantity : 2500

Paper Stock : 20lb

UB04 Hospital Insurance Claim Forms

Specifications

Brand

Paris

Category

Tax Forms

Call for price
Compare

FORM,CMS,8.5X11,LSR CT,WH

Category Tax Forms
PRB05108

FORM,CMS,8.5X11,LSR CT,WH

Item Code: PRB05108
  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.

Forms-Insurance

8 1/2 x 11

Forms Per Page : 1

Form Quantity : 2500

Paper Stock : 20lb

UB04 Hospital Insurance Claim Forms

Category Tax Forms
Call for price
Compare

Description

  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.

Forms-Insurance

8 1/2 x 11

Forms Per Page : 1

Form Quantity : 2500

Paper Stock : 20lb

UB04 Hospital Insurance Claim Forms

Specifications

Brand

Paris

Category

Tax Forms

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