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BUSB859394GEC | Mfr. Model 59870R

Laser UB-04 Claim Forms, 1-Part, 8.5" x 11", White, 2500 Forms/Carton

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

Contract eligible | Brand: Tops Business Forms
37 availableShips from stockSold per EA
Business price$354.23

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Product Details

UB-04 laser-cut forms are designed for medical offices to file a claim with the patient's insurance company. The forms are formatted according to Health Care Finance Administration standards, ensuring accuracy in reporting all necessary information. They meet the requirements of the Centers for Medicare and Medicaid Services (CMS) and are printed on 20 lb. bond paper. Each kit includes a set of UB-04 forms, providing the essential documentation needed for efficient claims processing. The dimensions of the forms comply with industry specifications for ease of use in various filing systems.

Specifications

BuySupply SKU
BUSB859394GEC
Manufacturer Part Number
59870R
UPC
025932598708
UNSPSC
14111500
Brand
Tops Business Forms
Manufacturer
Tops Business Forms
Unit of Measure
EA
Minimum Order
1
Order Increments
1
Category
Office & School Supplies > Office Supplies > Paper & Stationery
Shipping Weight
26 lb

Business Purchasing

Account checkout required Tax exempt support Multi-user approvals Reorder list compatible

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