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Tops Business Forms

Tops® Laser UB-04 Claim Forms 1-Part 8-1/2"" x 11"" White 2500 Forms/Carton

Delivery 1-3 Days

Item Code: B859394

Category Forms

Manufacturer TOPS BUSINESS FORMS

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.

Specifications

UNSPSC Code

14111821

Weight

26lb

Brand

TOPS BUSINESS FORMS

Tops Business Forms

Tops® Laser UB-04 Claim Forms 1-Part 8-1/2"" x 11"" White 2500 Forms/Carton

Delivery 1-3 Days

Item Code: B859394

Category Forms

Manufacturer TOPS BUSINESS FORMS

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.

Specifications

UNSPSC Code

14111821

Weight

26lb

Brand

TOPS BUSINESS FORMS

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