Medical Forms, Health Insurance Claim Forms, CMS1500, UB92, Hospital Claim Forms

Envelopes-Claim Envelope UB04 Jumbo

Envelopes-Claim Envelope UB04 Jumbo

UB04 Large Claim Envelope:
Size: 9" X 12 1/2", Self Seal

The Large UB04 Envelope holds up to 50 unfolded claims for faster processing time. It is Imprinted with "First Class Mail"& "Insurance Claim Forms Enclosed" on the face of envelope for easy identification.

Available blank or imprinted with Hospital name and address in top left corner in black ink.

For imprinting of heading please fax information to (973)252-1885 and reference your order number. A Proof will be provided prior to printing.



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UB04 Large Claim Envelopes - Blank

UB04 Large Claim Envelope - Imprinted

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Data Business Systems
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© 2016 Data Business Systems, Inc. · 230 Route 206 South #301 · Flanders, NJ 07836 · (973) 252-1236 · Fax (973) 252-1885