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OEM#: 59870RNew OEM Original Outright
UB04 HOSPITAL INSURANCE CLAIM FORM FOR LASER PRINTERS, ONE-PART (NO COPIES), 8.5 X 11, 2,500 FORMS TOTAL by Tops
Your price:
$184.61 Per package of 2500 $333.15 Savings: $148.54 (45%)
Estimated to ship by 04/26 if ordered before 3:30 PM EST
OEM#: 59870RUB04 HOSPITAL INSURANCE CLAIM FORM FOR LASER PRINTERS, ONE-PART (NO COPIES), 8.5 X 11, 2,500 FORMS TOTAL by Tops
New OEM Original Outright
Your price:
$184.61 Per package of 2500
$333.15 Savings: $148.54 (45%)
Estimated to ship by 04/26 if ordered before 3:30 PM EST
Asset Information
ADD TO LIST
Product Overview
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Features
- Manufacturer: Tops
- Condition: New OEM Original
- Purchase Type: Outright
- Warranty: Mfr Warranty
- Returnable: No
- Printed to Government Printing Office standards.
- OCR ink for scanning.
- American Medical Association (AMA) approved format.
Technical Specs
P/N: 59870R Key Specs
Item
UB04 HOSPITAL INSURANCE CLAIM FORM FOR LASER PRINTERS, ONE-PART (NO COPIES), 8.5 X 11, 2,500 FORMS TOTAL
OEM
Tops
OEM #
59870R
Condition
New OEM Original
Returnable
No
Color Family
White
Copy Types
One-Part (No Copies)
Dated/Undated
Undated
Form Quantity (Total)
2,500
Form Size
8.5 x 11
Form Type Details
UB04
Format Indicator
Unbound
Forms Per Page
1
Paper Color(s)
White
Paper Stock
20 lb Bond
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Print and Ruling Color(s)
Red
Printer Compatibility
Laser
Special Features
Laser Printer Compatible
Total Recycled Content Percent
0%
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Product Overview
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Features
- Manufacturer: Tops
- Condition: New OEM Original
- Purchase Type: Outright
- Warranty: Mfr Warranty
- Returnable: No
- Printed to Government Printing Office standards.
- OCR ink for scanning.
- American Medical Association (AMA) approved format.
Technical Specs
P/N: 59870R Key Specs
Item
UB04 HOSPITAL INSURANCE CLAIM FORM FOR LASER PRINTERS, ONE-PART (NO COPIES), 8.5 X 11, 2,500 FORMS TOTAL
OEM
Tops
OEM #
59870R
Condition
New OEM Original
Returnable
No
Color Family
White
Copy Types
One-Part (No Copies)
Dated/Undated
Undated
Form Quantity (Total)
2,500
Form Size
8.5 x 11
Form Type Details
UB04
Format Indicator
Unbound
Forms Per Page
1
Paper Color(s)
White
Paper Stock
20 lb Bond
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Print and Ruling Color(s)
Red
Printer Compatibility
Laser
Special Features
Laser Printer Compatible
Total Recycled Content Percent
0%
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Product Overview
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Features
- Manufacturer: Tops
- Condition: New OEM Original
- Purchase Type: Outright
- Warranty: Mfr Warranty
- Returnable: No
- Printed to Government Printing Office standards.
- OCR ink for scanning.
- American Medical Association (AMA) approved format.
How can we
improve our item listing
?Technical Specs
P/N: 59870R Key Specs
Item
UB04 HOSPITAL INSURANCE CLAIM FORM FOR LASER PRINTERS, ONE-PART (NO COPIES), 8.5 X 11, 2,500 FORMS TOTAL
OEM
Tops
OEM #
59870R
Condition
New OEM Original
Returnable
No
Color Family
White
Copy Types
One-Part (No Copies)
Dated/Undated
Undated
Form Quantity (Total)
2,500
Form Size
8.5 x 11
Form Type Details
UB04
Format Indicator
Unbound
Forms Per Page
1
Paper Color(s)
White
Paper Stock
20 lb Bond
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Print and Ruling Color(s)
Red
Printer Compatibility
Laser
Special Features
Laser Printer Compatible
Total Recycled Content Percent
0%
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.