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TOP59870R   Quick View TOPS Products
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TOP59870R
TOPS 1-part UB-04 Laser-cut Forms
1 Part - 11" x 8.50" Form Size - White - Red Print Color - 2500 / Carton
Stock Check
  • Continuous forms are designed for hospitals to file a claim with the patient's insurance company
  • Forms are printed to GPO standards in OCR ink on 20 lb. bond
  • Health Care Finance Administration format ensures accuracy in reporting all necessary information
UPSOK AboutBrand
TOP50135RV   Quick View TOPS Products
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TOP50135RV
TOPS CMS-15000 Health Insurance Claim Forms
20 lb - 11" x 8.50" Sheet Size - White Sheet(s) - Red Print Color - 250 / Pack
Stock Check
  • CMS, NUCC and OMB approved format
  • Printed front and back
  • Convenient scanning
UPSOK AboutBrand

Total: 2 Products

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Manufacturers ( 2 )
TOPS Products(2)
 
Product Type ( 2 ) +
Number of Parts ( 1 ) +
Sheet Size Vertical ( 1 ) +
Basis Weight ( 1 ) +
Form Width ( 1 ) +
Sheet Size Horizontal ( 1 ) +
Form Length ( 1 ) +
Sheet Color ( 1 ) +
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