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Tops Billing Forms, 20 lb., 8-1/2x11, 2500/CT, White

82 Ratings

$254.29 / CT

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Stock Status: In Stock | Delivery in 1-2 business days

Item #: TOP59870R | MPN: TOP59870R
MSRP: $608.31

GSA SIN: 339940
Made in America
TAA Compliant
Section 889 Compliant
Item sold by Pacific Ink, an Economically Disadvantaged Woman Owned Small Business (EDWOSB)

Item Description

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.

Manufacturer Name: Tops

Manufactuer Part Number: TOP59870R

Brand Name: Tops

Country of Origin: UNITED STATES OF AMERICA (US)

Unit of Measure: CT

UNSPSC: 14111800 | UPC: n/a

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Tops Billing Forms, 20 lb., 8-1/2x11, 2500/CT, White

$254.29 / CT

Item Description

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