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TOPS 59870R UB04 Hospital Insurance Claim Form, 8-1/2 x 11 Inches, 2500 Forms - TOP59870R

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Product Overview

Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Form Size: 11 x 8 1/2; Forms Per Page: 1; Form Quantity: 2500; Layout: One Form per Sheet.

Specifications

Manufacturer TOPS Business Forms, Inc.
Mfg Part# TOP59870R
SKU 208832491
UPC 025932598708
UPC 14 00025932598708
Features
Printed to Government Printing Office standards.
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