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

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

Product ID: 113911666 Condition: New

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R 9,388
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Delivery: 10-20 working days
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Product Description

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

Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association AMA approved format. Form Size: 8 1/2 x 11 Forms Per Page: 1 Form Quantity: 2500 Layout: One Form per Sheet.

Technical Specifications

Country
USA
Brand
Tops
Manufacturer
Tops Business Forms
Binding
Electronics
ItemPartNumber
59870R
Model
TOP59870R
UPCs
031111224856
EANs
0031111224856

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