Tops - Mega Sale! Save up to 25%
Mega Sale! Up to 25% off on Tops products at Sure Directory. Hurry! Limited time offers. Offers valid only while supplies last.
Billing Forms,Continuos,1-Part,20 lb.,9-1/2"x11",2500/CT,WE, Sold as 1 Carton, 2500 Each per Carton
You Save: 16%
mpn: PLX512673, ean: 0635665126736,
4.8 out of 5 stars with 35 reviews
UB-04 continuous forms are designed for hospitals 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 ...
TOPS 59870R - UB04 Hospital Insurance Claim Form, 8-1/2 x 11, 2,500 Forms
You Save: 18%
4.4 out of 5 stars with 16 reviews
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Form Size: 8 1/2 x 11; Forms Per Page: 1.UB04 hospital insurance claim form.. Printed to Government Printing Office standards.....
Browse Our Catalog