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UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total

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  • UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total
Picture of UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.

Manufacturer: TOPS BUSINESS FORMS
Manufacturer part number: 59870R
This item gives back $99.50
Availability: 26 in stock
$248.74
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UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total

$248.74
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