Tops Business Forms Tops® Laser UB-04 Claim Forms 1-Part 8-1/2"" x 11"" White 2500 Forms/Carton p/n 59870R
Tops Business Forms Tops® Laser UB-04 Claim Forms 1-Part 8-1/2"" x 11"" White 2500 Forms/Carton p/n 59870R
Tops Business Forms Tops® Laser UB-04 Claim Forms 1-Part 8-1/2"" x 11"" White 2500 Forms/Carton p/n 59870R
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TOPS BUSINESS FORMS

Tops Business Forms Tops® Laser UB-04 Claim Forms 1-Part 8-1/2"" x 11"" White 2500 Forms/Carton p/n 59870R

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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 ENSUR…
SKU:
59870R
UPC:
025932598708
Condition:
New
Weight:
26.00 LBS
Minimum Purchase:
1 unit
Shipping:
Calculated at Checkout
Unit of Measure:
EA
Returnable:
Y
Cancellable:
Y
Country of Origin:
US
Hazmat:
N
UNSPSC:
14111821
UPC Code:
025932598708
Color:
White
$316.49
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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.

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