Loading...

CUSTOMER SERVICE

FEATURED CATEGORIES

per page

Filter By

TOP59870R   Quick View TOPS Products
$333.15 / CT
TOP59870R
TOPS 1-part UB-04 Laser-cut Forms
1 Part - 11" x 8.50" Form Size - White - Red Print Color - 2500 / Carton
STOCK CHECK
  • Continuous forms are designed for hospitals to file a claim with the patient's insurance company
  • Forms are printed to GPO standards in OCR ink on 20 lb. bond
  • Health Care Finance Administration format ensures accuracy in reporting all necessary information
  • 11" Length x 8.50" Width; 2500 / Carton
  • Replaces the UB-92
Quantity: Add To Cart
UPSOK AboutBrand
TOP50135RV   Quick View TOPS Products
$39.40 / PK
TOP50135RV
TOPS CMS-15000 Health Insurance Claim Forms
20 lb - 11" x 8.50" Sheet Size - White Sheet(s) - Red Print Color - 250 / Pack
STOCK CHECK
  • CMS, NUCC and OMB approved format
  • Printed front and back
  • Convenient scanning
  • Compatible with laser printers
Quantity: Add To Cart
UPSOK AboutBrand

Total: 2 items

Search for" Tops "

GO
D Categories - Claim/Medical Forms
Manufacturers ( 2 )
TOPS Products(2)
 
Product Type ( 2 ) < + >
Number of Parts ( 1 ) < + >
Sheet Size Vertical ( 1 ) < + >
Basis Weight ( 1 ) < + >
Form Width ( 1 ) < + >
Sheet Size Horizontal ( 1 ) < + >
Form Length ( 1 ) < + >
Sheet Color ( 1 ) < + >
GO
Item(s) : 0
0

Browse By Category
Breakroom
Appliances Beverages
Coffee & Coffee Supplies Food & Condiments
Foodservice Supplies Plates, Cups & Cutlery
Furniture & Interiors
Boards & Easels Carts & Stands
Desks Educational Furniture
Furniture Accessories Furniture Care
Office Decor & Lamps Organizers & Literature Displays
Panels & Dividers Seating
Storage Solutions Tables
Janitorial & Facility Supplies
Air & Odor Control Cleaning Supplies
Cleaning Tools Climate Control
Facility Signs Facility Supplies
Floor Care Janitorial Equipment
Lighting Paper Products/Dispensers
Personal Care & Hygiene Pest Control
Restroom Supplies Security
Skin & Body Care Tools & Equipment
Waste & Recycling
Office Supplies
Binder Accessories Binders & Report Covers
Business & Travel Cases Calendars & Planners
Cards & Stationery Cash Handling
Desk Organizers Envelopes
Folders & Filing Supplies Forms & Recordkeeping
General Supplies Labels
Mailing & Shipping Paper & Writing Pads
Stamps & Stamp Pads Storage
Tape & Adhesives Writing
Safety & PPE
Clothing Protection & Workwear Ergonomic Support
Fire & Smoke Protection First Aid Kits & Supplies
Gloves Healthcare Supplies
Masks Occupational Wear
School Supplies
Art & Craft Supplies Basic Supplies
Classroom Decor Drafting Supplies
Games & Sports Teaching Aids & Supplies
Technology
Business Machines & Accessories Computer Supplies
Consumer Electronics & Accessories Printers, Scanners & Supplies

Powered by VIBENet

Prices displayed are List Price. Please LOGIN to view your actual price.

DropDownMenu
DropDownMenu

$ 0.00