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HomeHCFA FormsHospital Claim CONTINUOUS (Duplicate) FORM UB92  


Hospital Claim CONTINUOUS (Duplicate) FORM UB92

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Description
Hospital Claim Form UB-92 - Continuous (Two Part Carbonless)
 
Description: Price Per Set:
  • Item: HCFA 1 1450 UB92
  • Format: Continuous (Duplicate) Form UB92
  • Type: Two Part for pin feed printer
  • Size: 8-1/2" X 11"
  • Weight: White 20# and Canary 15#
1000:  $42.95
2000:  $79.99
3000:  $114.95

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