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

TOPS(TM) UB04 Hospital Insurance Claim Form

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
    UPC 00000000000000
    List Price: $211.25
    Quantity
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