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

TigerChef #: 332569 MPN: TOP59870R
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UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms
$196.31
We have 60 in stock
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  • Printed to Government Printing Office standards.
  • OCR ink for scanning.
  • American Medical Association (AMA) approved format.
    • See more product details
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  • Printed to Government Printing Office standards.
  • OCR ink for scanning.
  • American Medical Association (AMA) approved format.
    • See more product details
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    Product Details for UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms

    Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. For Laser Printers. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 2500; Layout: One Form per Sheet.

    • Printed to Government Printing Office standards.
    • OCR ink for scanning.
    • American Medical Association (AMA) approved format.
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