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DFL Enterprises, Inc.
CMS/HCFA Forms
UB-04 Forms
HIPAA Compliance Forms
Envelopes
Printing Services
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DFL Enterprises, Inc.
CMS/HCFA Forms
UB-04 Forms
HIPAA Compliance Forms
Envelopes
Printing Services
Login Account
0
0
CMS/HCFA Forms
UB-04 Forms
HIPAA Compliance Forms
Envelopes
Printing Services
Login Account

UB04 Claim Forms

UB-04 Forms

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UB-04 Claim Forms - Individual Sheets
from $41.00
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UB-04 Claim Forms - 1 Part Continuous
$57.75
Add To Cart
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UB-04 Claim Forms - 2 Part Continuous
$57.75
Add To Cart
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177 Kensington Dr,
Madisonville, LA 70447
PHONE: 985-875-0800
FAX: 985-206-5040

Products

CMS/HCFA Claim Forms
HIPAA Compliance Forms
UB-04 Claim Forms
Envelopes
Narcotic Control Records
Physician’s Order Sheets
Laboratory Mount Sheets

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American HCFA Forms

ALL OUR FORMS ARE OF THE HIGHEST QUALITY, ARE PRINTED IN STRICT COMPLIANCE WITH GOVERNMENT SPECIFICATIONS AND ARE APPROVED BY CENTERS FOR MEDICARE AND MEDICAID SERVICES AND THE INSURANCE INDUSTRY.OUR FORMS HAVE BEEN APPROVED BY THE GOVERNMENT.
The American HCFA Forms division of DFL Enterprises, Inc. is an independent supplier of US Government approved claim forms and NOT an affiliate of CMS (www.cms.gov)

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