UB04 Hospital Insurance Claim Form, 8.5 x 11, 1/Page, 2,500 Forms
TOPS™
Made in USA
Product Description
UB04 Hospital Insurance Claim Form, 8.5 x 11, 1/Page, 2,500 Forms. Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. For Laser Printers. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 2500; Layout: One Form per Sheet.
- Printed to Government Printing Office standards.
- OCR ink for scanning.
- American Medical Association (AMA) approved format.
Technical Specifications
- 2500
- 8.5 x 11
- 1
- Forms-Insurance
- One Form per Sheet
- Red; White
- 20-lb.
- Red
- Laser
- For Laser Printers
- 0%
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