UB04 Hospital Insurance Claim Form 8 1/2 x 11 2,500 Forms
4.5 (1,234)
Sold 100+ last 30 days
20% off first order
$110.24
Color
Black
Quantity
Product description loading
Product description loading
This is the product description text that will appear here.
Quantity
1
One time purchase
$110.24
Subscribe & save
Save 8%
$101.42$110.24
Delivers every month
Description
TOPS - UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 FormsPrinted 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.