Claim/Medical Forms     
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TOPS 1-part UB-04 Laser-cut Forms - 1 Part - 11" x 8.50" Form Size - White - Red Print Color - 2500 / Carton
  • Continuous forms are designed for hospitals to file a claim with the patient's insurance company
  • Forms are printed to GPO standards in OCR ink on 20 lb. bond
    • SKU: TOP59870R
    UPS Shippable

    $333.15/CT
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    TOPS CMS-15000 Health Insurance Claim Forms - 20 lb - 11" x 8.50" Sheet Size - White Sheet(s) - Red Print Color - 250 / Pack
  • CMS, NUCC and OMB approved format
  • Printed front and back
    • SKU: TOP50135RV
    UPS Shippable

    $39.40/PK
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