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TOPS 59870R UB04 Hospital Insurance Claim Forms

TOPS

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Brand: TOPS

Features

  • Sold as 2500/CT.
  • Printed to Government Printing Office standards. OCR ink for scanning.
  • American Medical Association (AMA) approved format.

Details

TOPS UB04 Hospital Insurance Claim Forms feature an AMA-approved format for preparing medical insurance claims. Printed to Government Printing Office standards with OCR ink, they support scanning workflows and come packaged as 2500 forms per carton.

UPC: 641438084127