TOPS™ UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total

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Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
$186.83Retail $333.15
 0 In Stock
Item: 59870R | By: TOPS™
  • Printed to Government Printing Office standards.
  • OCR ink for scanning.
  • American Medical Association (AMA) approved format.
    • Supply Part #
    TOP59870R
    Condition
    New
    $186.83CT
     $333.15
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    Availability  0 In Stock
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    Product description

    Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
    33test33
    Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.

    Specifications

    Color Family
    White
    Color Family
    White
    Copy Types
    One-Part (No Copies)
    Copy Types
    One-Part (No Copies)
    Dated/Undated
    Undated
    Dated/Undated
    Undated
    Form Quantity (Total)
    2500
    Form Quantity (Total)
    2500
    Form Size
    8.5 x 11
    Form Size
    8.5 x 11
    Form Type Details
    UB04
    Form Type Details
    UB04
    Format Indicator
    Unbound
    Format Indicator
    Unbound
    Forms Per Page
    1
    Forms Per Page
    1
    Global Product Type
    Insurance Forms
    Paper Color(s)
    White
    Paper Color(s)
    White
    Paper Stock
    20 lb Bond
    Paper Stock
    20 lb Bond
    Post-Consumer Recycled Content Percent
    0%
    Post-Consumer Recycled Content Percent
    0%
    Pre-Consumer Recycled Content Percent
    0%
    Pre-Consumer Recycled Content Percent
    0%
    Print and Ruling Color(s)
    Red
    Print and Ruling Color(s)
    Red
    Printer Compatibility
    Laser
    Printer Compatibility
    Laser
    Product Biodegradability in Days
    0
    Product Biodegradability in Days
    0
    Product_Description
    FORMUB-041-PTLASERWE
    Product_Description
    FORMUB-041-PTLASERWE
    Special Features
    Laser Printer Compatible
    Special Features
    Laser Printer Compatible
    Total Recycled Content Percent
    0%
    Total Recycled Content Percent
    0%
    Global Product Type
    Insurance Forms
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