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TOPS
UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms
59870R MLS# 99535416
$412.61
/CT
$515.76
/CT
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Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 500 Forms/Pack
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Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 250 Forms/Pack
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Security Tinted Insurance Claim Form Envelope, Commercial Flap, Gummed Closure, 4.5 x 9.5, White, 500/Box
$196.85
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Security Tinted Insurance Claim Form Envelope, Commercial Flap, Redi-Seal Closure, 4.5 x 9.5, White, 500/Box
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Redi-Seal Insurance Claim Form Envelope, Cheese Blade Flap, Redi-Seal Closure, 9 x 12.5, White, 100/Box
$190.37
$190.37
Description
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Features
Printed to Government Printing Office standards.
OCR ink for scanning.
American Medical Association (AMA) approved format.
Product Details
Global Product Type
Forms-Insurance
Form Size
8.5 x 11
Forms Per Page
1
Form Quantity
2500
Layout
One Form per Sheet
Printer Compatibility
Laser
Paper Stock
20-lb.
Paper Color(s)
Red; White
Print and Ruling Color(s)
Red
Pre-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Total Recycled Content Percent
0%
Special Features
For Laser Printers
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
Report incorrect product information
UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms
TOPS
UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms
59870R MLS# 99535416
$412.61
/CT
$515.76
/CT
1
2
3
4
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Selected options is not available, please try different options
Printed to Government Printing Office standards.
OCR ink for scanning.
American Medical Association (AMA) approved format.
Related Items
Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 500 Forms/Pack
$105.11
$105.11
Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 250 Forms/Pack
$54.57
$54.57
Security Tinted Insurance Claim Form Envelope, Commercial Flap, Gummed Closure, 4.5 x 9.5, White, 500/Box
$196.85
$196.85
Security Tinted Insurance Claim Form Envelope, Commercial Flap, Redi-Seal Closure, 4.5 x 9.5, White, 500/Box
$276.97
$276.97
Redi-Seal Insurance Claim Form Envelope, Cheese Blade Flap, Redi-Seal Closure, 9 x 12.5, White, 100/Box
$190.37
$190.37
Bottom Tab Medical Chart Divider Sets, 8-Tab, Assorted Medical, 11.38 x 8.5, Manila, 40 Sets
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Contractor Proposal Form, 3-Part Carbonless, 8 1/2 x 11 7/16, 50 Forms
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Proposal Form, 8-1/2 x 11, Three-Part Carbonless, 50 Forms
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Redi-Rite Aluminum Storage Clipboard, 1" Clip Capacity, 8 1/2 x 11 Sheets, Black
$69.71
$69.71
Description
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Product Details
Global Product Type
Forms-Insurance
Form Size
8.5 x 11
Forms Per Page
1
Form Quantity
2500
Layout
One Form per Sheet
Printer Compatibility
Laser
Paper Stock
20-lb.
Paper Color(s)
Red; White
Print and Ruling Color(s)
Red
Pre-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Total Recycled Content Percent
0%
Special Features
For Laser Printers
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
Report incorrect product information
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