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UB04 Hospital Insurance Claim Form for Laser Printers

23 sold in last 24 hours

$211.30 $369.77

Discount: $158.47 (43%)

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Estimated Delivery: May 17 - May 21

No Returns accepted after delivery of product. Taxes are non-refundable.

Availability: In Stock Unavailable

SKU: 29748

Vendor: TOPS PRODUCTS

Categories:

Sheetfed Scanners

Tags:

1-PT FORM LASER TOP59870R UB-04

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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.

UB04 Hospital Insurance Claim Form for Laser Printers

UB04 Hospital Insurance Claim Form for Laser Printers

$211.30 $369.77

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