Ub04 Hospital Insurance Claim Form, 8.5 X 11, 1/page, 2,500 Forms

SKU
ESS-TOP59870R
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$346.11 /1 Carton
Typically Ships in 1 to 2 Days

This item ships directly from one of our manufacturers/distribution partners. We do our best to provide the most accurate lead times and notify you when items are out of stock. Please be aware purchases are first come first serve. If items are delayed for whatever reason we will reach out to you with a lead time.

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Details

Description:

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.

Specification

ManufacturerESS Brands
Model #ESS-TOP59870R
Shipping Weight26 pounds
MPNTOP59870R
UPC025932598708
GTIN00025932598708
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