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

TOPS PRODUCTSSKU: TOP59870R

Price:
$235.36 $237.63

Description

TOPS™ UB04 Hospital Insurance Claim Form - 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.

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