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TOPS UB-04 Continuous Hospital Insurance Claim Form, 1 Part, 9.5 x 11 Inches, Removable Margins, 2500 Sheets per Carton, White (59770R)

KWD 10.500

Brand
Tops
Weight
12.7 kg
All electronics ship with US style plugs. You may need a voltage converter or a plug adapter.
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Special Features

  • UB-04 1-part continuous is a form that hospitals use to file a claim with the patient's insurance company
  • Forms are printed to GPO standards in OCR ink on 20 lb. bond
  • 9.5 x 11 inch size - 2,500 sheets per carton
  • Replaces UB-92
  • Meets the requirements of the Centers for Medicare and Medicaid Services (CMS)

Description

TOPS Products is a leading manufacturer of ring binders, business forms, note taking and filing products, which are used in offices, schools and homes throughout the world. The TOPS UB-04 Hospital Insurance Claim forms are used by hospitals to file claims with the patient's insurance company. Use TOPS UB-04 forms with confidence. They meet the requirements of the Centers for Medicare and Medicaid Services (CMS). Each form has removable margins and is printed to GPO standards in OCR ink on a 9.5 x 11 inch sheet size, with 2,500 sheets per carton. 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 TOPS products to help!

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