Tops 59870r Ub04 Hospital Insurance Claim Form, 8 Tops 59870r Ub04 Hospital Insurance Claim Form, 8
Tops 59870r Ub04 Hospital Insurance Claim Form, 8
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  SKU# 59870R Z30297
TOPS 59870R UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms

 
  

TOPS 59870R UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms

Stock   82 item(s) available  
 
List price:    $172.88
 
Price:   
$146.12
 
Cannot be shipped to Canada, Puerto Rico, PO Box, APO/FPO and USA protectorates.
 
Quantity   
  
 
Manufacturer: TOPS     

Mfg Part#: 59870R.    Weight: 26 lbs

This product is BRAND NEW.
 
 


Overview

Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.

Features:

  • Printed to Government Printing Office standards.
  • OCR ink for scanning.
  • American Medical Association (AMA) approved format.


Details

Form Size:
8 1/2 x 11
Forms Per Page:
1
Form Quantity:
2500
Layout:
One Form per Sheet
Printer Compatibility:
Laser
Paper Stock:
20-lb.
Paper Color(s):
Red;White
Print and Ruling Color(s):
Red
Form Special Features:
For Laser Printers
Pre-Consumer Recycled Content Percent:
0 %
Post-Consumer Recycled Content Percent:
0 %
Total Recycled Content Percent:
0 %
Package Includes:
Includes 500 forms.
Country of Origin:
US*

* Country of Origin information is based on information provided by product manufacturers. The information has not been independently verified and we do not warrant its accuracy.




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