TOP 59870R Tops 1-part UB-04 Laser-cut Forms TOP59870R

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TOP 59870R Tops 1-part UB-04 Laser-cut Forms TOP59870R

Tops 1-part UB-04 Laser-cut Forms

Claim Forms, Tops 59870R Billing Forms, 20 lb., 8-1/2'' x 11'', 2500/CT

List Price: $181.52
Our Price: $113.70
You save $67.82!

• Quantity 2500/CT
• Claim Forms
• Forms
• General Office Supplies

Quantity in Stock:61

Product Code: TOP59870R

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Description

Extended Information

UB-04 laser-cut forms are designed for medical offices to file a claim with the patient's insurance company. The Health Care Finance Administration format ensures accuracy in reporting all necessary information. Forms meet the requirements of the Centers for Medicare and Medicaid Services (CMS). Forms are printed on 20 lb. bond paper.

Features

Tops 1-part UB-04 Laser-cut Forms

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Claim Forms TOPS

Our Price: $110.34
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TOP 50122R Tops CMS-1500 Health Care Forms TOP50122R

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