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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
SKU: #TOP59770R
In Stock
$113.99

sku: TOP59770R, mpn: 59770, ean: 0025932597701,

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.Hospitals use this form to file a medical claim.. Meets Medicare and Medicaid requir...



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