Office Supplies > Forms, Recordkeeping & Reference Materials TOPS UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms TOP59870R Manufacturer: TOPS Product ID: TOP59870R UPC: 025932598708 Our Price : $Price 276.62 Quantity Description & Specs Reviews Warranty Description Condition: New Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. For Laser Printers. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 2500; Layout: One Form per Sheet.UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms Printed to Government Printing Office standards.OCR ink for scanning.American Medical Association (AMA) approved format. Specifications Global Product Type: Forms-Insurance Form Size: 8.5 x 11 Forms Per Page: 1 Form Quantity: 2500 Layout: One Form per Sheet Printer Compatibility: Laser Paper Stock: 20-lb. Paper Color: Red; White Print and Ruling Color: Red Pre-Consumer Recycled Content Percent: 0% Post-Consumer Recycled Content Percent: 0% Total Recycled Content Percent: 0% Special Features: For Laser Printers Related Items 2"x10" Aluminum Double-sided Desk Holder K65 K65 Your Price: 31.06 Qty: Details At-A-Glance Standard Diary Recycled Daily Reminder, Red, 5 3/4 x 8 1/4, 2016 AAGSD38913 AAGSD38913 Your Price: 30.17 Qty: Details At-A-Glance Recycled Visitor Register Book, Black, 8 1/2 x 11 AAG8058005 AAG8058005 Your Price: 22.34 Qty: Details Adams 2-Part Invoice Book, Carbonless, 5.56 x 8.44, 50/Book ABFDC5840 ABFDC5840 Your Price: 7.31 Qty: Details Rediform Employee Time Card, Daily, Two-Sided, 4-1/4 x 7, 100/Pad RED4K406 RED4K406 Your Price: 9.43 Qty: Details
