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Mail : PO Box 801136, Miami, FL 33280-1136
Phone : 1-305-663-8300
Fax : 1-305-665-1800
Email Id :sales@afpschoolsupply.com
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Tops Products 59770R Billing Forms,Continuos,1-Part,20 lb.,9-1/2"x11",2500/CT,WE by TOPS
- UB-04 1-part continuous is a form that hospitals use to file a claim with the patient's insurance company
- Forms are printed to GPO standards in OCR ink on 20 lb. bond
- Health Care Finance Administration format ensures accuracy in reporting all necessary information
- 9-1/2" x 11"
Description
- UB-04 1-part continuous is a form that hospitals use to file a claim with the patient's insurance company
- Forms are printed to GPO standards in OCR ink on 20 lb. bond
- Health Care Finance Administration format ensures accuracy in reporting all necessary information
- 9-1/2" x 11"
- Product Description
- Product Reviews 1
- Product Q&A 1
- Large Order Quote
- Shipping / Return Policy
Product Description
UNSPSC
14111800
- UB-04 1-part continuous is a form that hospitals use to file a claim with the patient's insurance company
- Forms are printed to GPO standards in OCR ink on 20 lb. bond
- Health Care Finance Administration format ensures accuracy in reporting all necessary information
- 9-1/2" x 11"
UB-04 continuous forms are designed for hospitals to file a claim with the patient's 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). Continuous forms are printed on 20 lb. bond paper.
Product Reviews 1
Product Q&A 1
Large Order Quote
Shipping / Return Policy
Suggested Products
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submit purchase order via :
Mail : PO Box 801136
Phone : 1-305-663-8300
Fax : 1-305-665-1800
Email Id :sales@afpschoolsupply.com
