TOPS UB-04 Continuous Hospital Insurance Claim Form, 1 Part, 9.5 x 11 Inches, Removable Margins, 2500 Sheets per Carton, White (59770R)

Description

TOPS Products is a number one manufacturer of ring binders, business forms, note taking and filing products, which can be utilized in offices, colleges and houses all through the sector. The TOPS UB-04 Hospital Insurance Claim forms are utilized by hospitals to file claims with the patient’s insurance company. Use TOPS UB-04 forms with confidence. They meet the necessities of the Centers for Medicare and Medicaid Services and products (CMS). Each and every shape has removable margins and is outlined to GPO standards in OCR ink on a 9.5 x 11 inch sheet size, with 2,500 sheets per carton. These business forms are the easiest option to create and deal with a qualified symbol for small businesses and repair suppliers. Whether or not it is a multi-part shape, notebooks, writing pads, record books, or any of the masses of things we provide, you’ll count on TOPS products to lend a hand!
UB-04 1-part continuous is a sort that hospices use to file a claim with the patient’s insurance company
Forms are revealed to GPO standards in OCR ink on 20 lb. bond
9.5 x 11 inch size – 2,500 sheets per carton
Replaces UB-92
Meets the necessities of the Centers for Medicare and Medicaid Services and products (CMS)