UB04 Hospital Insurance Claim Form, 8-1/2 x 11, 2500 Forms
Box of 2500
Product Code: uss-top59870r
Usually Ships In 1-2 Business Days
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.
Overall Rating for UB04 Hospital Insurance Claim Form, 8-1/2 x 11, 2500 Forms
|Sold in units of:||2500|