UB04 Hospital Insurance Claim Form
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.
Tops UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms
- Global Product Type: Forms-Insurance Claim
- Form Size: 8 1/2 x 11
- Forms Per Page: 1
- Form Quantity: 2500
- Layout: One Form per Sheet
- Printer Compatibility: Laser
- Paper Stock: 20-lb.
- Paper Color(s): Red;White
- Print and Ruling Color(s): Red
- Pre-Consumer Recycled Content Percent: 0%
- Post-Consumer Recycled Content Percent: 0%
- Total Recycled Content Percent: 0%
- Special Features: For Laser Printers
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