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TOPS 1-part UB-04 Laser-cut Forms

Name: TOPS 1-part UB-04 Laser-cut Forms
Brand: Tops Products
SKU: TOP59870R
Price: 228.49
Availability: InStock

In Stock

Item: 59870R | By: TOPS

$228.49EA

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

$201.36

TOPS UB-04 Continuous Forms

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.

Brand Name

TOPS

Certifications & Standards

American Medical Association

Color

White

Country of origin

United States

Environmental Certification

SFI

Environmentally Friendly

Yes

Form Length

11"

Form Width

8.50"

Manufacturer Part Number

59870R

Manufacturer Website Address

http://www.tops-products.com

Number of Parts

Packaged Quantity

2500 / Carton

Print Color

Red

Print technology

Laser

Printed Side

Front

Product Model

UB-04

Product Name

1-part UB-04 Laser-cut Forms

Manufacturer

TOPS Products

Product Type

Claim Form

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TOPS 1-part UB-04 Laser-cut Forms

Payment & Security

Description

You may be also interested

Specifications

Product ratings & Reviews 0

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Customer Service

Company Information

About Us

Product ratings & Reviews ⁰