Office Quarters: From $126.12 - TOP-59770R Tops UB-04 Continuous Forms TOP 59770R TOP59770R


Office Quarters^® is a virtual office supply store featuring over 24,000 office supply items. From attache cases to zebra pens, we're your one stop source for all your office supplies.	Login

View more Claim Forms TOP-59770R Tops UB-04 Continuous Forms View Similar Products Tops Business Forms
	Description: 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 for Medicare and Medicaid Services (CMS). Forms are printed on 20 lb. bond paper.

Pfx, Number	Description	Shipping	Qty	Price	Business**	ORDER
TOP 59770R	Billing Forms, Continuos, 1-Part, 20 lb., 9-1/2"x11", 2500/CT		2500 EA/CT	126.12/CT		OUT OF STOCK
Business pricing is available with a verifiable FEIN. Email cust_serv@officequarters.com or call (518) 453-6563 for more information.

We accept Visa, Mastercard, Discover Card and American Express Office Quarters is the registered Trademark of Office Quarters, Inc. Reg. No. 2859971.
Home • About • Specials • Browse By Manufacturer • Shop Our Catalog • Customer Service • Account Information • Help
	Website Design and Development by Albany NY's WSG