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UB-04 Hospital Claim Form 3-Part Continuous (1,000/case)
UB-04 Hospital Claim Form 3-Part Continuous (1,000/case) UB-04 Hospital Claim Form 3-Part Continuous (1,000/case) Printed in OCR red dropout ink; Carbonless Environmental Paper Alliance (EPA) Recycled Paper (White / White / White) ; 1,000/case [more info]
UB-04 Hospital Claim Form 1-Part Continuous (1,000/case)
UB-04 Hospital Claim Form 1-Part Continuous (1,000/case) UB-04 Hospital Claim Form 1-Part Continuous (1,000/case) Printed in OCR red dropout ink; ?20# Environmental Paper Alliance (EPA) Recycled Paper (White) ; 1 ,000/case [more info]
UB-04 Hospital Claim Form 2-Part Continuous (1,000/case)
UB-04 Hospital Claim Form 2-Part Continuous (1,000/case) UB-04 Hospital Claim Form 2-Part Continuous (1,000/case) Printed in OCR red dropout ink; ? Carbonless Environmental Paper Alliance (EPA) Recycled Paper (White / White) ; 1,000/case [more info]
CMS-1500 Claim Form Self-Seal Window Envelope, 9 x 12 1/2, WE, 500/Carton
Business-weight window envelope for CMS-1500 (formerly HCFA-1500) claim forms. Self-adhesive closure. [more info]
TOPS 50992 CMS-1500 Claim Form Self-Seal Window Envelope, 9 1/2 x 12, WE, 500/Carton
Business-weight window envelope for CMS-1500 (formerly HCFA-1500) claim forms. Self-adhesive closure. [more info]
UB-04 Hospital Claim Form Laser-Cut Sheet (500/case)
UB-04 Hospital Claim Form Laser-Cut Sheet (500/case) UB-04 Hospital Claim Form Laser-Cut Sheet (500/case) Printed in OCR red dropout ink; ?20# Environmental Paper Alliance (EPA) Recycled Paper (White) ; ?500/case [more info]
UB-04 Hospital Claim Form 4-Part Continuous (500/case)
UB-04 Hospital Claim Form 4-Part Continuous (500/case) UB-04 Hospital Claim Form 4-Part Continuous (500/case) Printed in OCR red dropout ink; ? Carbonless Environmental Paper Alliance (EPA) Recycled Paper (All White) ; 500/case [more info]
UB-04 Hospital Claim Form 5-Part Continuous (500/case)
UB-04 Hospital Claim Form 5-Part Continuous (500/case) UB-04 Hospital Claim Form 5-Part Continuous (500/case) Printed in OCR red dropout ink; Carbonless Environmental Paper Alliance (EPA) Recycled Paper (All White) ; 500/case [more info]
CMS-1500 9" x 12-1/2" Jumbo Right Window Envelope, No Wording (500/case)
CMS-1500 9 x 12-1/2 Jumbo Right Window Envelope, No Wording (500/case) CMS-1500 9 x 12-1/2 Jumbo Right Window Envelope, No Wording (500/case) Right Window; Security Tinted Envelope; 50 Form Capacity; No wording printed on envelope; 500/case [more info]
TOP59870R - Tops UB-04 Hospital Claim Form
UB-04 laser-cut forms are designed for medical offices to file a claim with the patients 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) .... [more info]













