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Tops® UB-04 Forms, 1 Part, White, 8 1/2" x 11", Box Of 2,500

TOPS® UB-04 Forms, 1 Part, White, 8 1/2" x 11", Box Of 2,500
Store: Office Depot
Last Price: 230.89 USD
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Product info

Used by hospitals and institutions to file a medical claim with a patient's insurance company

Price History