UB04 Hospital Laser Printer 1-Part Claim Form

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UB04 Hospital Laser Printer 1-Part Claim Form by TOPSŪ
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UB04 Hospital Laser Printer 1-Part Claim Form

UB04 Hospital Laser Printer 1-Part Claim Form Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Form Type: Insurance Claim; Format: Loose Form; Form Size: 8 1/2 x 11; Sheet Size: 8 1/2 X 11.

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Image Product Details Usually Ships Unit List Price Price
TopsŪ UB04 Hospital Health Care Administration Insurance Claim Form, 8-1/2x11, 2500/Ctn TopsŪ UB04 Hospital Health Care Administration Insurance Claim Form, 8-1/2x11, 2500/Ctn
[ 8-1/2x11, 2500/Ctn ; 28 LBS]
Item # TOP59770R
Free Shipping
Dataproducts Zebra Z-Grip Retractable Ballpoint Pen, Clear Barrel, Black Ink, Med, 1.0 mm
24 Hours Carton $139.23 Our Price: $124.15
Qty:
TopsŪ UB04 Hospital Health Care Administration Insurance Claim Form, 8-1/2x11, 2500/Ctn TopsŪ UB04 Hospital Health Care Administration Insurance Claim Form, 8-1/2x11, 2500/Ctn
[ 8-1/2x11, 2500/Ctn ; 26 LBS]
Item # TOP59870R
Free Shipping
Dataproducts Zebra Z-Grip Retractable Ballpoint Pen, Clear Barrel, Black Ink, Med, 1.0 mm
24 Hours Carton $148.33 Our Price: $130.14
Qty: