Tops UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total
$211.05 / Carton
1
In Stock
UB04 Hospital Insurance Claim Form for Laser Printers, One-Part, 8.5 x 11, 2,500 Forms
Optimize your billing processes with the UB04 Hospital Insurance Claim Form, designed specifically for laser printers. This one-part form eliminates the need for copies, providing efficiency and precision in your documentation.
- Printed to Government Printing Office standards, ensuring top-notch quality and compliance.
- Utilizes OCR ink for scanning, facilitating accurate data capture and processing.
- Features the American Medical Association (AMA) approved format, guaranteeing that it meets all necessary healthcare industry standards.
Each carton contains 2,500 forms, perfectly sized at 8.5 x 11 inches. These forms are crafted from 20-lb. paper stock, available in a professional red and white color scheme, with red print and ruling for clear visibility. They are designed for laser printer compatibility, ensuring seamless integration into any medical office environment.
Proudly produced by Tops, these forms reflect a commitment to quality and reliability, trusted by healthcare professionals nationwide.
- Quantity : 2500 per Carton
- Form Size : 8 1/2 x 11
- Forms Per Page : 1
- Layout : One Form per Sheet
- Printer Compatibility : Laser
- Paper Stock : 20-lb.
- Paper Color : Red, White
- Print and Ruling Color : Red
- Special Features : For Laser Printers
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