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List of UB-04 Data Elements
ICR 201502-0920-011 · OMB 0920-0212 · Object 53684701.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | List of UB-04 Data Elements |
| Author | Clarice brown |
| Last Modified By | Writer |
| File Modified | 2014-01-23 |
| File Created | 2026-09-15 |
| Conversion State | complete |