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Ub04 Hospital Insurance Claim Form, 8 1-2 X 11, Laser Printer, 2500 Forms

Ub04 Hospital Insurance Claim Form, 8 1-2 X 11, Laser Printer, 2500 Forms

BRAND: TOPS™
ITEM: TOP59870R
WEIGHT: 26.0 lb

$333.99

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.