TOPS UB-04 1-Part Health Insurance Claim, 2500/Carton

In stock
SKU: TOP59870R
Regular price $346.78

Use this text to encourage communication or promote sharing on social networks.

You can also add links

Ensure insurance claims get all the information they need with these letter-size hospital insurance claim forms. Each one uses the Health Care Finance Administration format to ensure accuracy in reporting all required information, while the 20-pound paper weight provides a sturdy feel. These TOPS UB04 hospital insurance claim forms come in a pack of 2,500, so it's easy to stay stocked up.
Brand Name: TOPS
Form Size: 8 1/2" x 11"
Length in Inches: 11
Medical Form Pack Size: 2500
Medical Form Type: Health Insurance Claims
Next Day Delivery: Yes
Number of Parts: 1
Series or Collection: UB-04
True Color: White/Red
Width in Inches: 8.5