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Tops UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms (TOP59870R)

Tops UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms (TOP59870R)

UB04 Hospital Insurance Claim FormPrinted 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.Tops... ... more

Tops UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms (TOP59870R)

UB04 Hospital Insurance Claim FormPrinted 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.Tops...

CleanItSupply

(1,000+)

$96.54

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CleanItSupply

(1,000+)
TOPS UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms

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

The TOPS Hospital Claim Form UB04 is printed to Government Printing Office standards. It also features an OCR ink for scanning and has an American Medical Association (AMA) approved format. The medical claim form measures 8.5" x 11" and comes in a... ... more

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

The TOPS Hospital Claim Form UB04 is printed to Government Printing Office standards. It also features an OCR ink for scanning and has an American Medical Association (AMA) approved format. The medical claim form measures 8.5" x 11" and comes in a...

$211.25 $86.41

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Tops UB04 Hospital Insurance Claim Form (Case of 2,500)

Tops UB04 Hospital Insurance Claim Form (Case of 2,500)

Insurance/UB04 hospital claim form, 8-1/2 inches x 11 inches, 2500 loose forms per carton Hospital claim forms Printed to Government Printing Office standards Claim Forms have OCR ink for scanning American Medical Association (AMA) approved format ... more

Tops UB04 Hospital Insurance Claim Form (Case of 2,500)

Insurance/UB04 hospital claim form, 8-1/2 inches x 11 inches, 2500 loose forms per carton Hospital claim forms Printed to Government Printing Office standards Claim Forms have OCR ink for scanning American Medical Association (AMA) approved format

Overstock.com

(675,000+)

$122.49

FREE shipping

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Overstock.com

(675,000+)