Tops Business Forms Products – Billing Forms, 20 lb., 8-1/2″x11″, 2500/CT – Sold as 1 CT – 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.
- Sold as 1 CT
- Manufacturer: Tops Business Forms
- Total percentage of recycled content: 0
- Post Consumer Waste: 0
- Country of origin: US
Tops Business Forms Products – Billing Forms, 20 lb., 8-1/2″x11″, 2500/CT – Sold as 1 CT
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.
List Price: $ 181.52
Price: $ 136.99