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Tops UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms (TOP59870R)

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Brand: Tops
Item Number: TOP 59870R
MPN: 59870R
UPC: 025932598708

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Summary

Printed to Government Printing Office standards.
OCR ink for scanning.
American Medical Association (AMA) approved format.
Includes 500 forms.

Full Description Specs

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
Form Size	8 1/2 x 11
Forms Per Page	1
Layout	One Form per Sheet
Paper Color(s)	Red;White
Paper Stock	20-lb.
Post-Consumer Recycled Content Percent	0%
Pre-Consumer Recycled Content Percent	0%
Print and Ruling Color(s)	Red
Printer Compatibility	Laser
Global Product Type	Forms-Insurance Claim
Special Features	For Laser Printers

Tops UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms (TOP59870R)

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