UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms

Name: UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms
Brand: TOPS
SKU: 99535416
Price: 433.4 USD
Availability: InStock

59870R MLS# 99535416

$433.40 /CT ~~$541.75 /CT~~

UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms

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.

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

Height	10.25 in
Width	9.25 in
Length	0 in

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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

$433.40 /CT ~~$541.75 /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

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

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