Ub04 Hospital Insurance Claim Form, 8.5 X 11, 1/page, 2,500 Forms
SKU
ESS-TOP59870R
$392.45
/1 Carton
Typically Ships in 3 to 5 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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specification
| Manufacturer | ESS Brands |
|---|---|
| Model # | ESS-TOP59870R |
| Shipping Weight | 26 pounds |
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.
More Information
| Origin | ESS |
|---|
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