TOPS
TOPS Claim Form 59870R SPR-TOP59870R
- SKU:
- SPR-TOP59870R
- UPC:
- 025932598708
- MPN:
- 59870R
- Condition:
- New
- Weight:
- 26.00 LBS
- Shipping:
- Free Shipping
On Sale
Frequently bought together:
Description
TOPS 1-part UB-04 - Forms - 1 Part - 11" x 8.50" Form Size - White - Red Print Color - 2500 / Carton UB-04 - 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.
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Additional Information
Country of Origin: |
United States |
SubCategory: |
Office Supplies |
International Shipping: |
No |
Lead Time: |
Expected to ship in 1-2 business days |
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