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Tops Laser UB-04 Claim Forms, 1-Part, 8-1/2

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

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Buy Tops Laser UB-04 Claim Forms, 1-Part, 8-1/2" 11", White, 2500 Forms/Carton for $279.95 at @ Globalindustrial.com
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Product Details

Brand
TOPS BUSINESS FORMS
Manufacturer
N/A
Part Number
59870R
GTIN
25932598708
Condition
New
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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