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Home > Office Supplies > Forms, Recordkeeping & Reference Materials > Forms > TOPS > TOPSŪ UB04 Hospital Insurance Claim Form, 8-1/2 x 11, 2,500 Forms TOP59870R

TOPSŪ UB04 Hospital Insurance Claim Form, 8-1/2 x 11, 2,500 Forms TOP59870R

TOPSŪ
TOPS
TOPSŪ UB04 Hospital Insurance Claim Form, 8-1/2 x 11, 2,500 Forms TOP59870R
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
https://www.aceofficemachines.comtops-ub04-hospital-insurance-claim-form-8-1-2-x-11-2-500-forms-top59870r.html
155.56USDIn stock
TOPSŪ UB04 Hospital Insurance Claim Form, 8-1/2 x 11, 2,500 Forms TOP59870Rclick image to enlarge
TOPSŪ UB04 Hospital Insurance Claim Form, 8-1/2 x 11, 2,500 Forms TOP59870RTOPSŪ UB04 Hospital Insurance Claim Form, 8-1/2 x 11, 2,500 Forms TOP59870R
Item #TOP59870R
ManufacturerTOPS BUSINESS FORMS
BrandTOPSŪ
AvailabilityIn Stock  -  Usually ships the next business day
Regular Price$198.36
Sale Price$155.56( You Save 22% )
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Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
  • Printed to Government Printing Office standards.
  • OCR ink for scanning.
  • American Medical Association (AMA) approved format.