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
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
|Manufacturer:||TOPS Business Forms, Inc.|
|Publisher:||TOPS Business Forms, Inc.|
|Studio:||TOPS Business Forms, Inc.|
|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|
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