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Tops UB-04 Hospital Claim Form

Computer Supplies Sale

Description:

www.tops-products.com

UB-04 continuous form is designed for hospitals to file a claim with the patient's insurance company. Forms are printed to Government Printing Office standards in OCR ink on 20 lb bond.

Claim Form 59770R Tops UB-04 Hospital Claim Form White Tops US No 0% 0% No 11" Length x 8.5" Width 1 Part (1 Form Per Sheet) Front Side Form With Red Ink 2500 / Carton Dot Matrix

New from $104.99

Tops UB-04 Hospital Claim Form

$104.99






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