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UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total

TOPS BUSINESS FORMS UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms
American Medical Association (AMA) approved format.
  
Printed to Government Printing Office standards. OCR ink for scanning.

Low Price: $333.15

Quantity in Stock:29

Availability: Usually Ships in 1 to 2 Business Days
Product Code: TOP59870R
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Description
 
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Features
  • Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 2500; Layout: One Form per Sheet.

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