PTXU06Y3
TOPS™ UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total
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- Printed to Government Printing Office standards
- OCR ink optimized for scanning
- American Medical Association (AMA) approved format
- Compatible with laser printers
- Includes 2,500 undated, one-part forms
Description
This pack of 2,500 TOPS™ UB04 Hospital Insurance Claim forms is printed to strict Government Printing Office standards and uses OCR ink optimized for scanning. It features an AMA-approved format suitable for healthcare billing and medical claims processing. The undated, one-part unbound forms measure 8.5 x 11 inches and are compatible with laser printers, ensuring clear, professional results. Ideal for hospitals, clinics, and medical billing professionals needing compliant, high-quality claim forms in bulk. Keywords: insurance claim form, healthcare billing, medical claims, UB04 form, laser printer compatible.
- Global Product Type: Insurance Forms
- Form Type Details: UB04
- Dated/Undated: Undated
- Forms Per Page: 1
- Form Size: 8.5 x 11 inches
- Format Indicator: Unbound
- Form Quantity (Total): 2,500
- Copy Types: One-Part (No Copies)
- Paper Color(s): White
- Color Family: White
- Printer Compatibility: Laser
- Paper Stock: 20 lb Bond
- Print and Ruling Color(s): Red
- Product Biodegradability in Days: 0
- Pre-Consumer Recycled Content Percent: 0%
- Post-Consumer Recycled Content Percent: 0%
- Total Recycled Content Percent: 0%
- Special Features: Laser Printer Compatible
- Country of Origin: US
- Carton Pack Quantity: 2,500
- Pack Quantity: 0
- UPC: 025932598708
- UNSPSC: 14111806
Specifications
- attributes
- Case of 2,500 forms