{"product_id":"ub04-hospital-insurance-claim-form-for-laser-printers","title":"UB04 Hospital Insurance Claim Form for Laser Printers","description":"UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total\u003cbr\u003e\u003cul\u003e\n\u003cli\u003ePrinted to Government Printing Office standards.\u003c\/li\u003e\n\u003cli\u003eOCR ink for scanning.\u003c\/li\u003e\n\u003cli\u003eAmerican Medical Association (AMA) approved format.\u003c\/li\u003e\n\u003c\/ul\u003e","brand":"Talha","offers":[{"title":"Default Title","offer_id":53466454688109,"sku":"TOP59870R","price":343.15,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0997\/8665\/4061\/files\/108315.jpg?v=1781853679","url":"https:\/\/costvio.com\/products\/ub04-hospital-insurance-claim-form-for-laser-printers","provider":"COSTVIO","version":"1.0","type":"link"}