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
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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 |
