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TOPS 1-part UB-04 Laser-cut Forms - 1 Part - 11" x 8.50" Form Size - White - Red Print Color - 2500 / Carton

TOPS

TOPS 1-part UB-04 Laser-cut Forms - 1 Part - 11" x 8.50" Form Size - White - Red Print Color - 2500 / Carton

$220.84

per carton of 2,500

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1
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Specifications

Brand
TOPS
Category
Office Supplies
SKU
TOP59870R
Availability
In stock

Product details

UB-04 laser-cut forms are designed for medical offices to file a claim with the patient's insurance company. The Health Care Finance Administration format ensures accuracy in reporting all necessary information. Forms meet the requirements of the Centers for Medicare and Medicaid Services (CMS). Forms are printed on 20 lb. bond paper.Sold by: Carton of 2,500 General Information Manufacturer:TOPS ProductsManufacturer Part Number:59870RManufacturer Website Address:http://www.tops-products.comBrand Name:TOPSProduct Model:UB-04Product Name:1-part UB-04 Laser-cut FormsMarketing Information:UB-04 laser-cut forms are designed for medical offices to file a claim with the patient's insurance company. The Health Care Finance Administration format ensures accuracy in reporting all necessary information. Forms meet the requirements of the Centers for Medicare and Medicaid Services (CMS). Forms are printed on 20 lb. bond paper.Packaged Quantity:2500 / CartonProduct Type:Claim Form Product Information Number of Forms per Sheet:1Form Length:11"Form Width:8.50"Number of Parts:1Printed Side:FrontPrint Color:RedPrint Technology:Laser Physical Characteristics Color Family:WhiteProduct Color:White Miscellaneous Certifications & Standards:American Medical Association Recycled:NoAssembly Required:NoCountry of Origin:United StatesEnvironmental Certification:Sustainable Forestry Initiative (SFI)

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Universal

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U Brands

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