TOPS Billing Forms, Continuos, 2-Part, 20 lb., 9-1/2" x 11" 1000/CT

TOPS Billing Forms

Continuos, 2-Part, 20 lb., 9-1/2" x 11" 1000/CT (TOP59772R)
Sold As: Case of 1,000
Our Price $97.20

Delivery in 1-2 business days. Inventory Out Of Stock: 0
Product Currently Out Of Stock.
 


UB-04 continuous form is designed for hospitals to file a claim with the patient's insurance company. Forms are printed to Government Printing Office standards in OCR ink on 20 lb. bond.
ALTERNATE ITEM #: 524955, B002JGWBT6

UPC: 025932597725

MANUFACTURER NAME: TOPS
ITEM #: TOP59772R

Product Type: Industry Forms
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TOPS Billing Forms, Continuos, 2-Part, 20 lb., 9-1/2" x 11" 1000/CT (TOP59772R) On Sale

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