Adams UB-04 Continuous Hospital Insurance Claim Form, 1 Part, Laser, 8.5 x 11 Inches, 2500 Sets per Carton, White (59870R)


Blowout Sale! Save 66% on the Adams UB-04 Continuous Hospital Insurance Claim Form, 1 Part, Laser, 8.5 x 11 Inches, 2500 Sets per Carton, White (59870R) by Adams at Atlas Success. MPN: 59870R. Hurry! Limited time offer. Offer valid only while supplies last. Adams Business Forms provide the tools to help keep track of messages, finances, transactions, employees, taxes, and customers to businesses throughout the world. The Adams UB-04 Hospital Insurance Claim forms are used by hospitals to file claims with the patient's insurance company. Each form is printed to GPO standards in OCR ink on a 8.5 x 11 inch laser cut sheet size, with 2,500 form sets per carton. These UB-04 forms are made to replace the UB-92 forms. These business forms are the perfect


Adams UB-04 Continuous Hospital Insurance Claim Form, 1 Part, Laser, 8.5 x 11 Inches, 2500 Sets per Carton, White (59870R) by Adams
4.3 out of 5 stars with 38 reviews
Condition: New
Availability: In Stock
$198.36
$67.99
You Save: 66%


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Product Description & Reviews

Adams Business Forms provide the tools to help keep track of messages, finances, transactions, employees, taxes, and customers to businesses throughout the world. The Adams UB-04 Hospital Insurance Claim forms are used by hospitals to file claims with the patient's insurance company. Each form is printed to GPO standards in OCR ink on a 8.5 x 11 inch laser cut sheet size, with 2,500 form sets per carton. These UB-04 forms are made to replace the UB-92 forms. These business forms are the perfect way to create and maintain a professional image for small businesses and service providers. Whether it's a multi-part form, notebooks, writing pads, record books, or any of the hundreds of items we offer, you can count on Adams products to help!

Features & Highlights

  • UB-04 claim forms used by hospitals file a claim with the patient's insurance company, replaces the UB-92 form
  • Forms are printed to GPO standards in OCR ink on 20 pound stock bond
  • Laser cut sheets
  • 2,500 sets per carton
  • 8.5 x 11 inch sheet size

Additional Information

Brand:
Adams
Manufacturer:
TOPS Business Forms, Inc.
Category:
Insurance Claim Forms
Color:
White
Model:
59870R
MPN:
59870R
UPC:
025932598708
Part Number:
59870R
Platform:
Windows
Size:
8 1/2 In X 11 In
Publisher:
TOPS Business Forms, Inc.
Publication Date:
2010-06-29
Binding:
Office Product
Item Weight:
26.46 pounds
Item Size:
8.5 x 4.4 x 11 inches
Package Weight:
26.7 pounds
Package Size:
11.2 x 8.8 x 11.4 inches

 


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