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TOPS™

Ub04 Hospital Insurance Claim Form For Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total - TOP59870R

$341.32
$343.15
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SKU:
TOP59870R
MPN:
59870R
Weight:
26.00 LBS

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Description

Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.

Product Features

  • Printed to Government Printing Office standards.
  • OCR ink for scanning.
  • American Medical Association (AMA) approved format.

Item Dimensions
Weight: 26.0 lbs.
Height: 10.25 in
Depth: 12.0 in
Width: 9.25 in

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