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Tops UB92 Hospital Claim Form
TOPS
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Description:
The form hospitals use to file a claim with the patient’s insurance company. Printed to Government Printing Office standards. White 20 lb. bond. 9-1/2" x 11". 2500.
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| Pfx, Number |
Description |
UPS |
Qty |
Price |
ORDER |
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TOP 59870 |
FORM, CLAIM, HOSP, UB92, 1PT, LASER |
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107.94/CT |
OUT OF STOCK |
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| Cross
Reference |
| Part number |
Equivalent |
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TOP 59870 |
TOP59870 TOP-59870 025932598708 2593259870 |
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