TOPS UB04 Hospital Insurance Claim Form for Laser Printers

SKU: OFC-59870R
  • Printed to Government Printing Office standards
  • OCR ink for scanning
  • American Medical Association (AMA) approved format
  • Unbound format indicator
  • 2,500 forms total, ideal for high-volume use
Unit Price
Quantity
Subtotal
US 190.99$
US 190.99$
US 189.84$1%
2
US 189.17$1%
3
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Brand
Manufacturer
TOPS
Model#
59870R
Assembly Required
No assembly is required
Contains Recycled Materials
N
Unit of Measure
CT
This item is sold by the
CT which contains 2500 EA
Country of Origin
US
Global Product Type
Insurance Forms
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Special Features
Laser Printer Compatible
Total Recycled Content Percent
0%
Green Product
N
Carton Pack Quantity
2500 EA
Color Family
White
Paper Color(s)
White
Copy Types
One-Part (No Copies)
Form Size
8.5 x 11
Forms Per Page
1
Print and Ruling Color(s)
Red
Printer Compatibility
Laser
Paper Stock
20 lb Bond
Dated/Undated
Undated
Upc carton
50025932598703
Form type details
UB04
Format indicator
Unbound
Form quantity (total)
2,500
Barcode
025932598708
Description

Product Overview

The TOPS UB04 Hospital Insurance Claim Form for Laser Printers is a high-quality, one-part form designed specifically for laser printers. With 2,500 forms per carton, this product is ideal for high-volume use. Each form is printed to Government Printing Office standards, ensuring accuracy and reliability.

Key Features

This product features OCR ink for scanning, making it easy to digitize and manage your records. The American Medical Association (AMA) approved format ensures that your forms are compliant with industry standards.

Product Specifications

The TOPS UB04 Hospital Insurance Claim Form for Laser Printers measures 8.5 x 11 inches, making it compatible with standard laser printers. The forms are printed on 20 lb bond paper, providing a professional look and feel. The unbound format indicator ensures that each form is separate and easy to use.

Why Choose TOPS?

TOPS is a trusted brand in the office supplies industry, known for producing high-quality products that meet the needs of healthcare professionals. When you choose TOPS, you can be confident that you're getting a product that is designed to meet the highest standards.

Order Now

Don't wait to get the forms you need to manage your hospital's insurance claims. Order the TOPS UB04 Hospital Insurance Claim Form for Laser Printers today and experience the difference that high-quality products can make.

Shipping specs
Weight
26 lbs
Shipping from
This product is shipped from our supplier's warehouse in FL, United States
Our guarantee
This product is brand new and includes the manufacturer's warranty, so you can buy with confidence.
A 25% handling charge is levied against all authorized returns except those due to our error. Unauthorized returns are subject to a 40% handling charge. Damages & defects must be reported to us within 14 days.
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