TOPS UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total (TOP59870R)
$183.16
In Stock
Get Your Order in 1–2 Business Days Anywhere in the U.S. No Delays
Description
Key Features
- Printed to Government Printing Office standards.
- OCR ink for scanning.
- American Medical Association (AMA) approved format.
- Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
- Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
- Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Specifications
- Global Product Type: Insurance Forms
- Form Type Details: UB04
- Dated: No
- Forms Per Page: 1
- Form Size: 8.5 x 11
- Format Indicator: Unbound
- Form Quantity (Total): 2,500
- Copy Types: One-Part (No Copies)
- Paper Color(s): White
- Color Family: White
- Printer Compatibility: Laser
- Paper Stock: 20 lb Bond
- Print and Ruling Color(s): Red
- Product Biodegradability Indicator: N
- Product Biodegradability in Days: 0
- Product Compostability Indicator: N
- Pre-Consumer Recycled Content Percent: 0%
- Post-Consumer Recycled Content Percent: 0%
- Total Recycled Content Percent: 0%
- Special Features: Laser Printer Compatible
Product Specs
Additional information
| Weight | 26.00 lbs |
|---|
Brand
TOPS™
2 reviews for TOPS UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total (TOP59870R)
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Alice Garrison (verified owner) –
Loved every bit of it. Pleasant!
Sam Carpenter (verified owner) –
Brilliant service. Clean!