TOPS UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms

TOPS UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms
TOPS UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms

About this product

TOPS UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms

Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Form Size: 11 x 8 1/2; Forms Per Page: 1; Form Quantity: 2500; Layout: One Form per Sheet.
Product Specifications
  • Weight
    30.0000
  • Sold As
    Carton
  • Unit Quantity
    2500
  • Unit Amount
    each
Properties
  • UPC
    025932598708
  • GTIN
    00025932598708
  • SKU
    21233485
  • Stock Reference #
    SSTOP59870R

TOPS UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms

$121.95 /carton
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$121.95 /carton
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