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BUSTOP59870RSPR | Mfr. Model TOP59870R

Form, UB-04, 1 Part Laser 2500/CT

UB-04 laser-cut medical claim form on 20 lb bond paper meets CMS requirements for Medicare and Medicaid filing accuracy. Designed for medical office insurance claims. Comes in a Carton of 2500.

Contract eligible | Brand: Tops
36 availableShips from stockSold per 2500 / CT
Business price$337.76

$591.99Save 43%

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Product Details

UB-04 laser-cut medical claim forms designed for filing insurance claims using the Health Care Finance Administration format. Printed on 20 lb bond paper, these forms comply with Centers for Medicare and Medicaid Services CMS requirements, ensuring accurate reporting of all necessary information. Comes in a Carton of 2500.

Specifications

BuySupply SKU
BUSTOP59870RSPR
Manufacturer Part Number
TOP59870R
UPC
025932598708
UNSPSC
14111500
Brand
Tops
Manufacturer
Tops
Unit of Measure
2500 / CT
Minimum Order
1
Order Increments
1
Category
Office & School Supplies > Office Supplies > Paper & Stationery
Shipping Weight
26 lb

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