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Tops UB-04 Continuous Billing Form TOP59772R

Tops UB-04 Continuous Billing Form TOP59772R

Tops TOP59772R 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...

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TOPS UB04 Hospital Insurance Claim Form

TOPS UB04 Hospital Insurance Claim Form

TOPS UB04 Hospital Insurance Claim Form ... more

TOPS UB04 Hospital Insurance Claim Form

TOPS UB04 Hospital Insurance Claim Form

$242.94

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"TOPS CMS-1500 Insurance Continuous Forms - 20 lb - 2 Part - Carbonless Copy - 8.50"" x 11"" Form Size - Red, Red Print Col"

"TOPS CMS-1500 Insurance Continuous Forms - 20 lb - 2 Part - Carbonless Copy - 8.50"" x 11"" Form Size - Red, Red Print Col"

"TOPS CMS-1500 Insurance Continuous Forms - 20 lb - 2 Part - Carbonless Copy - 8.50"" x 11"" Form Size - Red, Red Print Color - 1500 / Carton" ... more

"TOPS CMS-1500 Insurance Continuous Forms - 20 lb - 2 Part - Carbonless Copy - 8.50"" x 11"" Form Size - Red, Red Print Col"

"TOPS CMS-1500 Insurance Continuous Forms - 20 lb - 2 Part - Carbonless Copy - 8.50"" x 11"" Form Size - Red, Red Print Color - 1500 / Carton"

$122.91

FREE shipping

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Best Seller
"TOPS CMS-1500 Insurance Continuous Forms - 20 lb - 1 Part - 8.50"" x 11"" Form Size - Red, Red Print Color - Paper - 3000"

"TOPS CMS-1500 Insurance Continuous Forms - 20 lb - 1 Part - 8.50"" x 11"" Form Size - Red, Red Print Color - Paper - 3000"

"TOPS CMS-1500 Insurance Continuous Forms - 20 lb - 1 Part - 8.50"" x 11"" Form Size - Red, Red Print Color - Paper - 3000 / Carton" ... more

"TOPS CMS-1500 Insurance Continuous Forms - 20 lb - 1 Part - 8.50"" x 11"" Form Size - Red, Red Print Color - Paper - 3000"

"TOPS CMS-1500 Insurance Continuous Forms - 20 lb - 1 Part - 8.50"" x 11"" Form Size - Red, Red Print Color - Paper - 3000 / Carton"

$120.16

FREE shipping

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Tops UB04 Hospital Insurance Claim Form (Case of 2,500)

Tops UB04 Hospital Insurance Claim Form (Case of 2,500)

Insurance/UB04 hospital claim form, 8-1/2 inches x 11 inches, 2500 loose forms per carton Hospital claim forms Printed to Government Printing Office standards Claim Forms have OCR ink for scanning American Medical Association (AMA) approved format ... more

Tops UB04 Hospital Insurance Claim Form (Case of 2,500)

Insurance/UB04 hospital claim form, 8-1/2 inches x 11 inches, 2500 loose forms per carton Hospital claim forms Printed to Government Printing Office standards Claim Forms have OCR ink for scanning American Medical Association (AMA) approved format

Overstock.com

(675,000+)

$153.99

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Overstock.com

(675,000+)
TOPS UB-04 Continuous Forms

TOPS UB-04 Continuous Forms

"General InformationProduct Type: Claim FormManufacturer Part Number: 59770RManufacturer Website Address: www.tops-products.comPackaged Quantity: 2500 / CartonManufacturer: Tops ProductsProduct Model: UB-04Product Name: UB-04 Hospital Claim FormBrand... ... more

TOPS UB-04 Continuous Forms

"General InformationProduct Type: Claim FormManufacturer Part Number: 59770RManufacturer Website Address: www.tops-products.comPackaged Quantity: 2500 / CartonManufacturer: Tops ProductsProduct Model: UB-04Product Name: UB-04 Hospital Claim FormBrand...

$186.17 $100.11

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TOPS UB-04 Hospital Claim Form TOP59770R

TOPS UB-04 Hospital Claim Form TOP59770R

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... ... more

TOPS UB-04 Hospital Claim Form TOP59770R

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...

$127.76 $113.19

FREE shipping

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