UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total TOP59870R

Name: UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total TOP59870R
Brand: TOPS
SKU: 99535416
Price: 447.72 USD
Availability: InStock

59870R MLS# 99535416

$447.72 /CT ~~$559.65 /CT~~

UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total

Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.

Printed to Government Printing Office standards.
OCR ink for scanning.
American Medical Association (AMA) approved format.

Form Type Details		UB04
Global Product Type		Insurance Forms
Dated/Undated		Undated
Forms Per Page		1
Form Size		8.5 x 11
Format Indicator		Unbound
Form Quantity (Total)		2,500
Copy Types		One-Part (No Copies)
Paper Color(s)		White
Color Family		White
Printer Compatibility		Laser
Paper Stock		20 lb Bond
Print and Ruling Color(s)		Red
Product Biodegradability in Days		0
Pre-Consumer Recycled Content Percent		0%
Post-Consumer Recycled Content Percent		0%
Total Recycled Content Percent		0%
Special Features		Laser Printer Compatible
Country Of Origin		US
Carton Weight		26
Carton Pack Quantity		2500 EA
UPC		025932598708
UNSPSC		14111806

Height	10.25 in
Width	9.25 in
Length	0 in

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UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total TOP59870R

TOPS

UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total TOP59870R

59870R MLS# 99535416

$447.72 /CT ~~$559.65 /CT~~

Printed to Government Printing Office standards.
OCR ink for scanning.
American Medical Association (AMA) approved format.

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Description

Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.

Product Details

Form Type Details		UB04
Global Product Type		Insurance Forms
Dated/Undated		Undated
Forms Per Page		1
Form Size		8.5 x 11
Format Indicator		Unbound
Form Quantity (Total)		2,500
Copy Types		One-Part (No Copies)
Paper Color(s)		White
Color Family		White
Printer Compatibility		Laser
Paper Stock		20 lb Bond
Print and Ruling Color(s)		Red
Product Biodegradability in Days		0
Pre-Consumer Recycled Content Percent		0%
Post-Consumer Recycled Content Percent		0%
Total Recycled Content Percent		0%
Special Features		Laser Printer Compatible
Country Of Origin		US
Carton Weight		26
Carton Pack Quantity		2500 EA
UPC		025932598708
UNSPSC		14111806

Shipping Weight & Item Dimensions

Height	10.25 in
Width	9.25 in
Length	0 in

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