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Tops 1-part UB-04 Laser-cut Forms

General Office Supplies

Tops 1-part UB-04 Laser-cut Forms

Billing Forms, 20 lb., 8-1/2"x11", 2500/CT, White

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Manufacturer:

Tops

SKU:

TOP59870R

Availability:

In stock

Usually Ships by: Thursday, May 21

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UB-04 laser-cut forms are designed for medical offices to file a claim with the patient's insurance company. The Health Care Finance Administration format ensures accuracy in reporting all necessary information. Forms meet the requirements of the Centers for Medicare and Medicaid Services (CMS). Forms are printed on 20 lb. bond paper.