skip to footer block
USS TOPS BUSINESS FORMS TOP59870R Ub04 Hospital Insurance Claim Form 8 1/2 X 11 Laser Printer 2500 Forms P814203USS-TOP59870R https://cdnimages.opentip.com/full/USS/USS-TOP59870R.jpg TOPS BUSINESS FORMS TOP59870R Ub04 Hospital Insurance Claim Form 8 1/2 X 11 Laser Printer 2500 Forms Manufacturer Part Number:TOP59870R Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.Global Product Type Insurance Forms Form Type Details UB04 Dated/Undated Undated Forms Per Page 1 Format Indicator Unbound Copy Types One-Part (No Copies) Color Family White Form Size 8.5 x 11 Form Quantity (Total) 2,500 Paper Color(s) White Printer Compatibility Laser Paper Stock 20 lb Bond Print and Ruling Color(s) Red Pre-Consumer Recycled Content Percent 0% Post-Consumer Recycled Content Percent 0% Total Recycled Content Percent 0% Special Features Laser Printer Compatible Country Of Origin US Carton Weight 26 lbs. Carton Pack Quantity 2500 EA Pack Quantity 0 UPC 025932598708 UNSPSC 14111806 Weight 26 lbs. Length 12 in Height 10.25 in Width 9.25 in 814203 025932598708 31.2000lbs 0.00 0.00 0.00
TOPS BUSINESS FORMS
159.6700 2025-04-16 66 In Stock

TOPS BUSINESS FORMS TOP59870R Ub04 Hospital Insurance Claim Form, 8 1/2 X 11, Laser Printer, 2500 Forms, Price/CT

See other products from USS

UPC: 025932598708
SKU: USS-TOP59870R
Price: $159.67
Quantity:
Shipping:
$34.36 To [ 43215 ] Estimated Delivery Date: Apr 22, 2024 to Apr 24, 2024
66 In Stock
Share & Earn 10% Cash Back Best Price in Bulk

Product Description

Price is for CT.

Manufacturer Part Number:TOP59870R

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


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






    NOTE: PO Box deliveries are not available.

    warning tips WARNING: This product can expose you to chemicals which are known to the State of California to cause cancer, birth defects, or other reproductive harm. For more information, go to www.p65warnings.ca.gov.
    Need more information?
    Our staff are available to answer any questions you may have about this item


    Customer Reviews
    0 reviews
    Be the first to review this item!