Ub04 Hospital Insurance Claim Form For Laser Printers, One-part (no Copies), 8.5 X 11, 2,500 Forms Total

by Tops
Reg Price: $237.63 Our Price: $186.55
Save 21%
In stock
SKU
1747811
Ships Free

Buy More Save More

  • Buy 3 or more
    Our Price: $185.51
    Save 22%
  • Buy 5 or more
    Our Price: $184.89
    Save 22%
  • Buy 10 or more
    Our Price: $183.89
    Save 23%
  • Buy 20 or more
    Our Price: $183.23
    Save 23%
  • Buy 30 or more
    Our Price: $182.40
    Save 23%
  • Buy 50 or more
    Our Price: $180.09
    Save 24%
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.

Features

  • Printed To Government Printing Office Standards.
  • Ocr Ink For Scanning.
  • American Medical Association (ama) Approved Format.


Specifications

SKU1747811
Manufacturer Tops
MPN59870R
Length12.000
Width9.250
Height10.250
Weight26.00
Package Quantity2500
No reviews at this time