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

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

Item: TOP59870R

  • Printed to Government Printing Office standards.
  • OCR ink for scanning.
  • American Medical Association (AMA) approved format.
$298.89/CT

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Made In The USA
  • Product Details
  • Description
  • Warranty Information
Count: Greater than 500 Count   Length: 11 in  
Post Consumer Recycled Content Percent: 0%   Pre Consumer Recycled Content Percent: 0%  
Product Type: Forms   Total Recycled Content Percent: 0%  
Width: 8.5 in  

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