Compare Quick view Ub04 Hospital Insurance Claim Form, 8 1/2 X 11, Laser Printer, 2500 Forms TOPS™ Log in for pricing Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. For Laser Printers. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 2500; Layout: One Form per Sheet. Log in for pricing Compare Quick view Qty in Cart: 0 Price: Log in for pricing Subtotal: