TOPS® Continuous UB-04 Forms, 1-part, White, 9 1/2" x 11", Box Of 2500

$198.09/carton

Description

    Used by hospitals and institutions to file medical claims with a patient's insurance company

    • Each form meets the requirements of the Centers for Medicare and Medicaid Services (CMS).
    • Printed in OCR black ink on perforated, carbonless, 20-lb paper to ensure better scanning and reproduction.
    • Available in laser or continuous formats.
    $198.09/carton