Office Supplies
UB92 Hospital Claim Form
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.
UB92 Hospital Claim Form
Sale Price: $112.19*
Retail: $118.63 (5% off!)
Retail: $118.63 (5% 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. For Laser Printers 8-1/2 x 11.