1-part UB-04 Laser-cut Forms 2500 / Carton red 8.5 x 11
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- Brand: TOPS Products
- Product Code: TOP59870R
- Availability: 119
Tags: 1-part UB-04 Laser-cut Forms 2500 / Carton red 8.5 x 11
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.
General Information
Manufacturer: TOPS Products
Manufacturer Part Number: 59870R
Manufacturer Website Address: http://www.tops-products.com
Product Model: UB-04
Product Name: 1-part UB-04 Laser-cut Forms
Packaged Quantity: 2500 / Carton
Manufacturer: TOPS Products
Manufacturer Part Number: 59870R
Manufacturer Website Address: http://www.tops-products.com
Product Model: UB-04
Product Name: 1-part UB-04 Laser-cut Forms
Packaged Quantity: 2500 / Carton
Product Information
Number of Forms per Sheet: 1
Form Length: 11"
Form Width: 8.50"
Number of Parts: 1
Printed Side: Front
Print Color: Red
Print Technology: Laser
Number of Forms per Sheet: 1
Form Length: 11"
Form Width: 8.50"
Number of Parts: 1
Printed Side: Front
Print Color: Red
Print Technology: Laser
Physical Characteristics
Color: White
Color: White
Miscellaneous
Certifications & Standards:
Environmentally Friendly: Yes
Environmental Certification: SFI
Certifications & Standards:
American Medical Association
Environmentally Friendly: Yes
Environmental Certification: SFI