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

Name: Tops Laser UB-04 Claim Forms, 1-Part, 8-1/2" 11", White, 2500 Forms/Carton
Brand: TOPS BUSINESS FORMS
SKU: B859394
Availability: InStock

Best Price:
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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Seller	Contact Seller	List Price	On Sale	Shipping	Best Promo	Final Price	Volume Discount	Financing	Availability	Seller's Page
BEST PRICE 1 Product Purchase @ Globalindustrial.com		$279.95	$279.95	Flat Shipping ($49.99)		$279.95		See Site	In stock	Visit Store

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.

Available Colors

N/A

Available Sizes

2" x 11"

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