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TOPS BUSINESS FORMS | SKU:
TOP59870R
UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total
$283.18
Unit price
/
Unavailable
Shipping calculated at checkout.
UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total is backordered and will ship as soon as it is back in stock.
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Delivery and Shipping
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UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No...
$283.18
Unit price
/
Unavailable
Description
Description
Printed to Government Printing Office standards
OCR ink for scanning
American Medical Association (AMA) approved format
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Laser Printer Compatible. Form Type Details: UB04; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
- Global Product Type : Insurance Forms
- Form Type Details : UB04
- Dated/Undated : Undated
- Forms Per Page : 1
- Form Size : 8.5 x 11
- Format Indicator : Unbound
- Form Quantity (Total) : 2,500
- Copy Types : One-Part (No Copies)
- Paper Color(s) : White
- Color Family : White
- Printer Compatibility : Laser
- Paper Stock : 20 lb Bond
- Print and Ruling Color(s) : Red
- Pre-Consumer Recycled Content Percent : 0%
- Post-Consumer Recycled Content Percent : 0%
- Total Recycled Content Percent : 0%
- Special Features : Laser Printer Compatible
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