Item #: 519727 | Model #: UB04LC
UB-92 Hospital Claim Forms (920), 1 Part
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UB-92 Hospital Claim Forms (920), 1 Part

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$70.99
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Product Details
  • Laser forms are printed with red ink on 20-lb. bond paper for trouble-free use in your laser printer
  • Easily file a medical claim with a patient's insurance carrier One-part
  • Compatible with laser printers
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70.99
70.99
https://www.staples-3p.com/s7/is/image/Staples/s0060091
00040498033043
TFP
UB-92 Hospital Claim Forms (920), 1 Part
Product Description
  • Laser forms are printed with red ink on 20-lb. bond paper for trouble-free use in your laser printer
  • Easily file a medical claim with a patient's insurance carrier One-part
  • Compatible with laser printers
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