UB04 Hospital Insurance Claim Form, 8-1/2 x 11, 2500 Forms

Box of 2500
UB04 Hospital Insurance Claim Form, 8-1/2 x 11, 2500 Forms
Product Code: uss-top59870r
$110.99
Reg. price: $198.36
Savings: $87.37 (44%)
Order Qty (2500 per box):
Usually Ships In 1-2 Business Days
Description
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Form Size (W x H): 8 1/2 in x 11 in; Number of Columns: N/A; Forms Per Page: 1; Number of Entry Lines: N/A.







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Product Information
In Stock:Yes
Sold in units of:2500
Product Code:uss-top59870r
Manufacturer:TOPS

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