UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms
$320.88
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Description
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. For Laser Printers. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 2500; Layout: One Form per Sheet.
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Weight | 0.00 oz |
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Dimensions | 0.00 × 0.00 × 0.00 in |
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