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TOPS(TM) UB04 Hospital Insurance Claim Form TOP59870R TOP 59870R Sold As CT TOP 59870R
  
Supplies TOP59870R
Price: $137.05
TOPS(TM) UB04 Hospital Insurance Claim Form
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TOPS(TM) UB04 Hospital Insurance Claim Form

Supplies TOP59870R
Office Supplies > Forms, Recordkeeping & Reference Materials > Forms
Manufacturer: TOPS BUSINESS FORMS
Product Name: TOPS(TM) UB04 Hospital Insurance Claim Form
Product ID: TOP59870R
Country of Origin: US
Product Overview: UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms
TOPS(TM) UB04 Hospital Insurance Claim Form TOP59870R Sold As CT
  • 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.

    • Search Words: Claim Form; Claim Forms; Continuous Form; HCFA Claim Form; Health Care Claim Forms; Human Resources; Insurance Forms; Personnel; Personnel Forms; TOPS; UB04; Paperwork; Records; Documents; Pre-Printed; Record-Keeping
    Alternate Product ID: TOP 59870R
    Supplies TOP59870R
    List Price: $211.25
    Price: $137.05
    Quantity:

    TOPS(TM) UB04 Hospital Insurance Claim Form

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    TOPS(TM) UB04 Hospital Insurance Claim Form

    TOP59870R | TOPS(TM) UB04 Hospital Insurance Claim Form
    Global Product Type: Forms-Insurance
    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
    Pre-Consumer Recycled Content Percent: 0%
    Post-Consumer Recycled Content Percent: 0%
    Total Recycled Content Percent: 0%
    Special Features: For Laser Printers
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