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UB-04 Hospital Claim Form Laser-Cut Sheet (500/case)

$24.61

SKU: UB04LC5 Category:

Description

Make sure your medical office or healthcare facility has the right paperwork for your patients when you purchase UB-04 forms from The Supplies Shops. Each case includes 500 hospital claim form laser-cut sheets, so it’s easy to stock up on must-have documentation for medical billing purposes. Use these forms to note important details for inpatient and outpatient claims. Featuring red “dropout” ink, the forms are easy to scan and feature a design that conforms to the UB04 printing specifications accepted by major health insurance providers.

Specifications:

  • UB-04 Hospital Claim Form Laser-Cut Sheet
  • Printed in OCR red "dropout" ink
  • 20# Environmental Paper Alliance (EPA) Recycled Paper (White)
  • 500/case

Additional information

Weight 5.00 lbs
Dimensions 12 × 10 × 5 in
Color

White

Paper Type

OfficeProducts

Color Map

White

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