Ub04 Hospital Insurance Claim Form, 8 1/2 X 11, Laser Printer, 2500 Forms

Ub04 Hospital Insurance Claim Form, 8 1/2 X 11, Laser Printer, 2500 Forms

SKU:
ESTOP59870R
|
UPC:
025932598708
$208.99
$314.28
(You save $105.29 )
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Weight:
26.00 Ounces
Width:
9.25 (in)
Height:
10.25 (in)
Depth:
12.00 (in)
Current Stock:
217
Description
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. For Laser Printers. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 2500; Layout: One Form per Sheet.