Click or scroll to zoom
Tap or pinch to zoom
Tops Business Forms UB04 Hospital Insurance Claim Form - UB04 Hospital Insurance Claim Form, 8.5" x 11", Laser Printer, 2, 500 Forms - 59870R
In Stock
$309.99
SKU 59870R
Discount Code: Use code TAKE5 for 5% OFF Total Purchase
Free Shipping Orders Over $100
Questions? Speak with a specialist!
Chat with us!
Give us a call!
Email us!
This item may require 5-7 days to ship out from our facility.
Product Information: UB04 Hospital Insurance Claim Form, 8.5" x 11", Laser Printer, 2, 500 Forms
Manufacturer Part # 59870R
Description
- Printed to Government Printing Office standards
- ORC ink ideal for scanning
- American Medical Association (AMA) approved
| Color | White |
| HPIS Code | 999_140_20_0 |
| Latex Free | Yes |
| UNSPSC | 14111806 |
