Government Printing Office
UB92 Hospital Claim Form
Retail: $111.33 (6% off!)
(Betty Mills Janitorial Products)
UB92 Hospital Claim Form • American Medical Association (AMA) approved format For filing claims with patient’s insurance carrier. Printed to Government Printing Office standards with OCR red ink for scanning. 20-lb. paper. Continuous Form 8-1/2 x 11 detached size.
UB92 Hospital Claim Form
Retail: $118.63 (5% off!)
(Betty Mills Janitorial Products)
UB92 Hospital Claim Form • American Medical Association (AMA) approved format For filing claims with patient’s insurance carrier. Printed to Government Printing Office standards with OCR red ink for scanning. 20-lb. paper. For Laser Printers 8-1/2 x 11.
UB92 Hospital Continuous 1-Part Claim Form, 8-1/2x11, 2500/Ctn
Retail: $116.90 (28% off!)
(Restockit.com)
DETAILS: UB92 Hospital Claim Form American Medical Association (AMA) approved format For filing claims with patients insurance carriers. Printed to Government Printing Office standards with OCR red ink for scanning. 20-lb. paper. Continuous Form 8-1/2 x 11 detached size.
UB92 Hospital Laser Printer 1-Part Claim Form, 8-1/2x11, 2500/Ctn
Retail: $124.55 (23% off!)
(Restockit.com)
DETAILS: UB92 Hospital Claim Form American Medical Association (AMA) approved format For filing claims with patients insurance carriers. Printed to Government Printing Office standards with OCR red ink for scanning. 20-lb. paper. For Laser Printers 8-1/2 x 11.
Insurance/UB04 Hospital Claim, 8-1/2 x 11, 2500 Continuous Forms/Carton
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Form Type: Insurance Claim; Format: Continuous Form; Form Size: 8 1/2 x 11; Sheet Size: N/A.
Insurance/UB04 Hospital Claim Form, 8-1/2 x 11, 2500 Loose Forms/Carton
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Form Type: Insurance Claim; Format: Loose Form; Form Size: 8 1/2 x 11; Sheet Size: 8 1/2 X 11.