UB04 / CMS-1450 Insurance Forms. 8-1/2 x 11 Inches, 2500 Forms

TOPS

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Brand: TOPS

Color: Red; White

Features:

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

Details: 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; Layout: One Form per Sheet.

UPC: 025932598708

EAN: 0640206360197




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