UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total

  • Printed to Government Printing Office standards.
  • OCR ink for scanning.
  • American Medical Association (AMA) approved format.
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SKU: TOP59870R Category: Tag:

Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Laser Printer Compatible. Form Type Details: UB04; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.

TOP59870R
TOP-59870R

Additional information

Brand

TOPS BUSINESS FORMS

Global Product Type

Insurance Forms

Form Type Details

UB04

Dated/Undated

Undated

Forms Per Page

1

Form Size

8.5 x 11

Format Indicator

Unbound

Form Quantity (Total)

2,500

Copy Types

One-Part (No Copies)

Paper Color(s)

White

Color Family

White

Printer Compatibility

Laser

Paper Stock

20 lb Bond

Print and Ruling Color(s)

Red

Pre-Consumer Recycled Content Percent

0%

Post-Consumer Recycled Content Percent

0%

Total Recycled Content Percent

0%

Special Features

Laser Printer Compatible

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