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Insurance Claim Form, UB92, AMA Approved, 20 lb. Paper, OCR Red Ink, 2500/CT TOP59770


Insurance Claim Form, UB92, AMA Approved, 20 lb. Paper, OCR Red Ink, 2500/CT TOP59770 by Tops at DP Business Solutions. SKU: TOP59770R. MPN: 59770. Hurry! Limited time offer. Offer valid only while supplies last. Hospitals use this form to file a medical claim. Meets Medicare and Medicaid requirements. Forms are printed to Government Printing Office standards


Product Description

Hospitals use this form to file a medical claim. Meets Medicare and Medicaid requirements. Forms are printed to Government Printing Office standards with OCR red ink.

Features & Highlights

  • Hospitals use this form to file a medical claim.
  • Meets Medicare and Medicaid requirements.
  • Forms are printed to Government Printing Office standards with OCR red ink.
  • SOLD BY THE CT

Additional Information

Manufacturer:Tops Business Forms
Brand:Tops
Part Number:59770
Publisher:Tops Business Forms
Studio:Tops Business Forms
MPN:59770
UPC:025932597701
SKU:TOP59770R
EAN:0025932597701
Item Weight:0 pounds
Item Size:10.25 x 10.25 x 10.25 inches

Insurance Claim Form, UB92, AMA Approved, 20 lb. Paper, OCR Red Ink, 2500/CT TOP59770 by Tops

Buy Now:
Insurance Claim Form, UB92, AMA Approved, 20 lb. Paper, OCR Red Ink, 2500/CT TOP59770

Brand: Tops
SKU: #TOP59770R
Condition: New
Lead Time: 1 - 2 Business Days
Availability: In Stock
$113.99


Quantity:  

 


 


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