TOPS™
UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total
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- SKU:
- TOP59870R
- UPC:
- 025932598708
- MPN:
- 59870R
- Weight:
- 26.00 LBS
Frequently bought together:
Description
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
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Additional Information
Product Biodegradability in Days: |
0 |
Pre-Consumer Recycled Content Percent: |
0% |
Total Recycled Content Percent: |
0% |
Post-Consumer Recycled Content Percent: |
0% |
Ship Class Code: |
M |
Forms Per Page: |
1 |
Dated/Undated: |
Undated |
Print and Ruling Color(s): |
Red |
Paper Color(s): |
White |
Form Type Details: |
UB04 |
Color Family: |
White |
Form Size: |
8.5 x 11 |
Printer Compatibility: |
Laser |
Format Indicator: |
Unbound |
Copy Types: |
One-Part (No Copies) |
Form Quantity (Total): |
2,500 |
Paper Stock: |
20 lb Bond |
Special Features: |
Laser Printer Compatible |
Global Product Type: |
Insurance Forms |
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