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UB-04 Hospital Claim Form Laser-Cut Sheet (2,500/case)

Item Number: UB04LC
3 reviews

Pricing:

Price per
Case of 2500
2+
Cases
5+
Cases
10+
Cases
20+
Cases

$94.27 $91.67$89.72$87.89$77.73

Volume Savings2.8%4.8%6.8%17.5%

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    Qty:
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    Description:

    Make sure your medical billing procedures adhere to universal standards with these UB-04 Hospital Claim Forms from The Supplies Shops. The UB-04 is the uniform medical billing form that is standardized across the entire healthcare industry. It ensures that any inpatient or outpatient claims are billed correctly, which is why it’s so important to have high-quality UB-04s in stock in your office. Printed with red “dropout” ink, this form is a must-have for any healthcare setting and will deliver the excellent quality you want for your patient records.

    • UB-04 Hospital Claim Form Laser-Cut Sheets
    • Printed in OCR red "dropout" ink
    • White 20# Environmental Paper Alliance (EPA) Recycled Paper
    • 2,500/case
    Specifications:
    ASIN:B004GBTNXOBrand:TFP Data Systems
    Claim Type:HospitalColor:White
    Condition:NewCurrency:USD
    Form Number:UB-04Holes Punched:No
    Pre-Printed:YesPackage Weight:25.00 LB
    Material:PaperCountry of Origin:USA
    Manufacturer Part Number:UB04LCNumber of Items:2500
    Numbered:NoPaper Size:Letter
    Ships in:4 to 5 Business Days (Plus time in transit)Size:in
    Style:Laser Cut Sheet
    ASIN:B004GBTNXO
    Brand:TFP Data Systems
    Claim Type:Hospital
    Color:White
    Condition:New
    Currency:USD
    Form Number:UB-04
    Holes Punched:No
    Pre-Printed:Yes
    Package Weight:25.00 LB
    Material:Paper
    Country of Origin:USA
    Manufacturer Part Number:UB04LC
    Number of Items:2500
    Numbered:No
    Paper Size:Letter
    Ships in:4 to 5 Business Days (Plus time in transit)
    Size:in
    Style:Laser Cut Sheet
    Reviews:
    5
    Out of 5.0
    Overall Rating
    100%
    of customers that
    buy this product give
    it a 4 or 5-Star rating.
    Five Star Excellence Award
    Verified Buyer
    June 16, 2023 by Melissa S (IL, united states)
    “great price and fast shipment”
    Verified Buyer
    December 12, 2019 by Frank M
    “Everything is great”
    Verified Buyer
    July 18, 2018 by Rosa D (CA, United States)
    “EASY AND QUICK”

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