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Insurance/UB04 Hospital Claim, 8-1/2 x 11, 2500 Continuous Forms/Carton

Manufacturer: TOPS BUSINESS FORMS

Manufacturer #: TOP59770R

  • Printed to Government Printing Office standards
  • OCR ink for scanning
  • American Medical Association (AMA) approved format.

    • Click here for other options for TOPS UB04 Hospital Insurance Claim Form

    Product Delivery Price  
    TOP59770R
    		Insurance/UB04 Hospital Claim, 8-1/2 x 11, 2500 Continuous Forms/Carton

    • 2500 EA/CT
    UPSable
    Expected Delivery
    Mon 8/2
    Item ships for free
    On orders over $40
    		$109.51
    Carton
    		 Add to My Catalog


    Post-Consumer Recycled Content Percent :0 %
    Pre-Consumer Recycled Content Percent :0 %
    Total Recycled Content Percent :0 %
    Paper Stock:20-lb.
    Form Size (W x H):8 1/2 in x 11 in
    Format:Continuous Form
    Printer Compatibility:Dot Matrix
    Punching:Dot Matrix Holes
    Global Product Type:Forms
    Form Type:Insurance Claim
    Layout:One Form per Sheet
    Print and Ruling Color(s):Red
    Paper Color(s):Red, White

     
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    Customer Feedback

    Wow! What terrific service. I placed my order on Sunday, got a follow-up call on Monday (informing me of a discontinued product), and voila, everything shows up on Tuesday. You folks rock! In a world where service is so lack-luster, thanks for a really fabulous experience. Obviously, I'll be returning to Business Supply for my office/work/school needs! Debbie – Oakland. CA

     
    Cross References
    TOP59770R Insurance/UB04 Hospital Claim, 8-1/2 x 11, 2500 Continuous Forms/Carton