UB92 Hospital Continuous 1-Part Claim Form, 8-1/2x11, 2500/Ctn

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. 2, 500 Forms per Carton One-Part FormWEIGHT: 28 lbs.SOLD AS: CartonSTOCK NUMBER: 59770