TOPS™ UB04 Hospital Insurance Claim Form for Laser Printers 8.5" x 11" 2500 Forms Total
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Tops Business Forms TOPS™ UB04 Hospital Insurance Claim Form for...
Mfr # 59870R
$319.15
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Product Details
| Brand | Tops Business Forms |
| Mfr. Model # | 59870R |
| Global Industrial Part # | B859394 |
| UPC | 025932598708 |
| Color | White |
| Weight | 26 lb |
| Unit of Measure | EA |
| Country of Origin | US |
| Ships Via | Parcel |
| Freight Class | 55 |
| Lead Time | 1 business day |
| Returnable | Yes |
| UNSPSC | 14111821 |
Description
Printed to government printing office standards. Ocr ink for scanning. American medical association (ama) approved format.