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Adams UB-04 Continuous Hospital Insurance Claim Form, 1 Part, Laser, 8.5 x 11 Inches, 2500 Sets per Carton, White (59870R)


Blowout Sale! Save 67% on the Adams UB-04 Continuous Hospital Insurance Claim Form, 1 Part, Laser, 8.5 x 11 Inches, 2500 Sets per Carton, White (59870R) by Adams at Medical Service. MPN: 59870R. Hurry! Limited time offer. Offer valid only while supplies last. Adams Business Forms provide the tools to help keep track of messages, finances, transactions, employees, taxes, and customers to businesses


Product Description

Adams Business Forms provide the tools to help keep track of messages, finances, transactions, employees, taxes, and customers to businesses throughout the world. The Adams UB-04 Hospital Insurance Claim forms are used by hospitals to file claims with the patient's insurance company. Each form is printed to GPO standards in OCR ink on a 8.5 x 11 inch laser cut sheet size, with 2,500 form sets per carton. These UB-04 forms are made to replace the UB-92 forms. These business forms are the perfect way to create and maintain a professional image for small businesses and service providers. Whether it's a multi-part form, notebooks, writing pads, record books, or any of the hundreds of items we offer, you can count on Adams products to help!

Features & Highlights

  • UB-04 claim forms used by hospitals file a claim with the patient's insurance company, replaces the UB-92 form
  • Forms are printed to GPO standards in OCR ink on 20 pound stock bond
  • Laser cut sheets
  • 2,500 sets per carton
  • 8.5 x 11 inch sheet size

Additional Information

Manufacturer:TOPS Business Forms, Inc.
Brand:Adams
Color:White
Model:59870R
Part Number:59870R
Publisher:TOPS Business Forms, Inc.
Studio:TOPS Business Forms, Inc.
MPN:59870R
UPC:025932598708
EAN:0025932598708
Item Weight:26.46 pounds
Item Size:8.5 x 4.4 x 4.4 inches
Package Weight:26.7 pounds
Package Size:11.2 x 8.8 x 8.8 inches

Adams UB-04 Continuous Hospital Insurance Claim Form, 1 Part, Laser, 8.5 x 11 Inches, 2500 Sets per Carton, White (59870R) by Adams

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Adams UB-04 Continuous Hospital Insurance Claim Form, 1 Part, Laser, 8.5 x 11 Inches, 2500 Sets per Carton, White (59870R)

Brand: Adams
4.1 out of 5 stars with 46 reviews
Condition: New
Lead Time: 1 - 2 Business Days
Availability: In Stock
$198.36
$67.00
You Save: 66%


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