UB92 Hospital Claim Form
Sale Price: $105.19*
Retail: $111.33 (6% off!)
Sale Price: $105.19*
Retail: $111.33 (6% off!)
Retail: $111.33 (6% off!)
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. 2, 500 Forms per Carton One-Part Form
Merchant: Betty Mills Janitorial Products
Categories:
Forms, Record Keeping & Reference / Office Supplies