Name: Billing Statements (Laser) (HCFA-1450)
Form ID: UB-04L
Description: Billing Statements (Laser) (HCFA-1450)
Size: 8-1/2 x 11
Paper: Bond
Color: White
Sides: 2
Unit: Set of 500
Billing Statements (Laser) (HCFA-1450): UB-04L (1)