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TOP-59870 Tops UB92 Hospital Claim Form

TOPS

Description:
The form hospitals use to file a claim with the patientís insurance company. Printed to Government Printing Office standards. White 20 lb. bond. 9-1/2" x 11". 2500.

 

Pfx, Number Description UPS Qty Price ORDER
TOP 59870 FORM, CLAIM, HOSP, UB92, 1PT, LASER   115.35/CT OUT OF STOCK
Cross Reference
Part number Equivalent
TOP 59870 TOP59870 TOP-59870 025932598708 2593259870
 

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