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TopsŪ UB04 Hospital Laser Printer 1-Part Claim Form Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Form Type: Insurance Claim; Format: Loose Form; Form Size: 8 1/2 x 11; Sheet Size: 8 1/2 X 11.
| Manufacturer #: |
TOP-59870R |
| Product Details |
UB04 Hospital Laser Printer 1-Part Claim Form, 8-1/2x11, 2500/Ctn |
| Form Size: |
8 1/2 x 11 |
| Form Type: |
Insurance Claim |
| Format: |
Loose Form |
| Layout: |
One Form per Sheet |
| Paper Stock: |
20-Lb. |
| Paper/Shading Color(s): |
White/Red |
| Print and Ruling Color(s): |
Red |
| Printer Compatibility: |
Laser |
| Sheet Size: |
8 1/2 X 11 |
| UPC: |
00025932598708 |
| Keywords: |
Claim Form, Claim Forms, Continuous Form, HCFA Claim Form, Health Care Claim Forms, Human Resources, Insurance Forms, Personnel, Personnel Forms, TOPS, UB04 |
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