UB04 Hospital Insurance Claim Form 8 1/2 x 11 2,500 Forms

UB04 Hospital Insurance Claim Form 8 1/2 x 11 2,500 Forms
- 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. Form Size: 8 1/2 x 11 Forms Per Page: 1 Form Quantity: 2500 Layout: One Form per Sheet.
Country USA
Brand Tops
Manufacturer Tops Business Forms Products
Binding Electronics
ItemPartNumber UN0912NU59870RUN0912NU
Model TOP59870R
UPCs 031111224856
EANs 0031111224856
ReleaseDate 0000-00-00

Country	USA
Brand	Tops
Manufacturer	Tops Business Forms Products
Binding	Electronics
ItemPartNumber	UN0912NU59870RUN0912NU
Model	TOP59870R
UPCs	031111224856
EANs	0031111224856
ReleaseDate	0000-00-00