FORM,UB-04,1-PT,LASER,WE
UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. For Laser Printers. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 2500; Layout: One Form per Sheet.
Notes
- Printed to Government Printing Office standards.
- OCR ink for scanning.
- American Medical Association (AMA) approved format.
- Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
- Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
- Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
- Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Specifications
- Global Product Type: Forms-Insurance
- Form Size: 8 1/2 x 11
- Forms Per Page: 1
- Form Quantity: 2500
- Layout: One Form per Sheet
- Printer Compatibility: Laser
- Paper Stock: 20-lb.
- Paper Color(s): Red
- Paper Color(s): White
- Print and Ruling Color(s): Red
- Pre-Consumer Recycled Content Percent: 0%
- Post-Consumer Recycled Content Percent: 0%
- Total Recycled Content Percent: 0%
- Special Features: For Laser Printers
- Product_Description: FORM,UB-04,1-PT,LASER,WE
- Long_Item_Description: UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms
- Item_Consolidated_Copy: Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. For Laser Printers. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 2500; Layout: One Form per Sheet.
Additional informations
ItemBrandID: | 2687 | ||
Vendor: | VendorNumber: 5603 VendorShortName: TOPS | ||
Brand: |
TOPS™ |
||
Source ID: | TOP59870R | ||
ItemKeywords: | Claim Form; Claim Forms; Continuous Form; HCFA Claim Form; Health Care Claim Forms; Human Resources; Insurance Forms; Personnel; Personnel Forms; TOPS; UB04; Paperwork; Records; Documents; Pre-Printed; Record-Keeping | ||
Product_SKU: | 59870R | ||
Product_Number: | 9461823 | ||
ItemStatus: | Y | ||
Stock_Number: | 59870R | ||
Category #1: | Office Supplies (#3) | ||
Category #2: | Forms, Recordkeeping & Reference Materials (#46) | ||
Category #3: | Forms (#376) | ||
Product Class Category: | FORMS,GENERAL (#257) | ||
ItemWeight: | 26.00 | ||
Country: | CountryOriginCode: US CountryCode: USA | ||
ListDate: | StartDate: 2019-07-01 00:00:00 EndDate: 2050-12-31 00:00:00 | ||
Status Code: | SC1: N SC2: Z SC3: N | ||
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