TOPS UB-04 Forms, 1 Part, White, 8 1/2in x 11in, Box Of 2,500 MPN:59870R

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In Stock
Brand: Tops
Part #: 59870R
UPC: 00025932598708
SKU
312-526935
Regular Price $333.15 Special Price $290.49
TOPS UB-04 Forms, 1 Part, White, 8 1/2in x 11in, Box Of 2,500 59870R Shop Millions of Products. Free Shipping. Quantity Discounts. Instant Discounts.

TOPS UB-04 forms are the ideal solution for any healthcare provider, medical office or facility needing a cost-effective solution to ensure compliance with HIPAA standards and streamline administrative workflow. Featuring white paper stock, easy to read formatting, and a secure binding system, these forms ensure that patient information is easily accessible and accurately documented. Additionally, the box of 2,500 forms provides a bulk order option for cost savings compared to purchasing individually. Whether you're billing insurance companies or managing in-house paperwork, TOPS UB-04 forms help keep operations running smoothly while maintaining patient privacy and security.

Used by hospitals and institutions to file a medical claim with a patients insurance company Meets the requirements of the Centers for Medicare and Medicaid Services (CMS). Printed on carbonless, 20-lb bond, 1-ply paper with red ink.

Features

  • Brand Name: TOPS
  • Carbonless: Yes
  • Color (Ink): Red
  • Double Sided: Yes
  • Eco Label Standard: SFI Certified Fiber Sourcing
  • Manufacturer: TOPS BUSINESS FORMS
  • Number of Holes Punched: False
  • Number of Parts: True
  • Product Line: UB-04 Forms
  • Quantity: 2500
  • Sheet Size: Letter (8-1/2" x 11")

Additional Information

  • Country of Origin: US
  • UNSPSC Code: 14111806
  • UNSPSC Commodity: Business forms or questionnaires
  • Green: No
  • Recycled Content: FALSE
  • Hazardous: No
  • Prop 65: No
  • MSDS URL:
  • Package Length: 11.50
  • Package Width: 8.50
  • Package Height: 11.00
  • Package Weight: 26.00
Related ASINs: B001E662W4, B001FME684, B00EK3IF1Y

Product info last updated on November 15, 2024 4:57pm UTC Category: Business Forms and Bookkeeping
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