UB-04 Hospital Claim Form Laser-Cut Sheet (500/case)
$24.61
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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