1-part UB-04 Laser-cut Forms
SKU
TOP59870R
$262.89
/CT
- TOPS 1-part UB-04 Laser-cut Forms - 1 Part - 11" x 8.50" Form Size - White - Red Print Color - 2500 / Carton
- TOPS 1-part UB-04 Laser-cut Forms
- 1 Part - 11" x 8.50" Form Size - White - Red Print Color - 2500 / Carton
Main Features
Marketing Information
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.
Return Policy
This item can be returned
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