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TOP59870R UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms By TOPS BUSINESS FORMS
TOP59870R UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms By TOPS BUSINESS FORMSTOP59870R UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms By TOPS BUSINESS FORMS

TOP59870R UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms By TOPS BUSINESS FORMS

Item # TOP59870R
Brand: TOPSŪ
Reg. $198.36
Sale $151.24
(You Save 24%)
In Stock - Usually ships the next business day
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Description

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.

Specifications

  • Printed to Government Printing Office standards.
  • OCR ink for scanning.
  • American Medical Association (AMA) approved format.
  • Dimension With Packaging: 12(D) x 9.25(W) x 10.25(H)
  • Includes 500 forms.

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