TOPS™
Ub04 Hospital Insurance Claim Form, 8 1/2 X 11, Laser Printer, 2500 Forms
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- SKU:
- ESDTOP59870R
- UPC:
- 025932598708
- Weight:
- 26.00 LBS
- Shipping:
- Calculated at Checkout
Description
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. For Laser Printers. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 2500; Layout: One Form per Sheet.
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