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(142814 ratings)
UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total
SKU
TOP59870R
by TOPS
$156.38 /CARTON
Delivered in 2-4 business days
In stock
- Printed to Government Printing Office standards.
- OCR ink for scanning.
- American Medical Association (AMA) approved format.
Category: Record Keeping & Money Handling
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Laser Printer Compatible. Form Type Details: UB04; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
| Color Family | White |
|---|---|
| Copy Types | One-Part (No Copies) |
| Dated/Undated | Undated |
| Form Quantity (Total) | 2,500 |
| Form Size | 8.5 x 11 |
| Form Type Details | UB04 |
| Format Indicator | Unbound |
| Forms Per Page | 1 |
| Global Product Type | Insurance Forms |
| Paper Color(s) | White |
| Paper Stock | 20 lb Bond |
| Post-Consumer Recycled Content Percent | 0% |
| Pre-Consumer Recycled Content Percent | 0% |
| Print and Ruling Color(s) | Red |
| Printer Compatibility | Laser |
| Product Biodegradability in Days | 0 |
| Special Features | Laser Printer Compatible |
| Total Recycled Content Percent | 0% |
| UPC | 025932598708 |
|---|---|
| Weight (lbs) | 26.0000 |
| MPN | 59870R |
| Brand | TOPS |
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