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TOPS 1-part UB-04 Laser-cut Forms

TOPS 1-part UB-04 Laser-cut Forms - 1 Part - 11" x 8.50" Form Size - Red Print Color - 2500 / Carton
In Stock
Item: 59870R | By: TOPS™
$228.49EA
Availability Only 115 Left In Stock
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Supply Part #
TOP59870R
Condition
New

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Product description

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.



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