TOPS UB-04 Continuous Forms 1 Part - 11" x 9.50" Form Size - White - Red Print Color - 2500 / Carton
TOPS UB-04 Continuous Forms 1 Part - 11" x 9.50" Form Size - White - Red Print Color - 2500 / Carton
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TOPS UB-04 Continuous Forms 1 Part - 11" x 9.50" Form Size - White - Red Print Color - 2500 / Carton

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About this item

  • Product Type - Claim Form
  • Number Of Parts - 1
  • Form Length - 11
  • Form Width - 9.50
  • Environmentally Friendly - Yes
  • Environmental Certification - SFI
  • Printed Side - Front
  • Country Of Origin - United States
  • Recycled - No
  • Manufacturer - TOPS Products
  • Product Model - UB-04
  • Print Color - Red
  • Manufacturer Part Number - 59770R
  • Manufacturer Website Address - http://www.tops-products.com
  • Green Indicator - Y

At a glance

Count
1
Material
Plastic
Sheets
2500
Paper size
8-1/2-x-11-inch
Has written warranty
No
Product line
imageFORMULA
$221.95
Price when purchased online
  • Free shipping
  • Free 30-day returns

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Sacramento, 95829
Arrives by Fri, Aug 29
|
Sold and shipped by Beach Audio Inc
4.13934034416826 stars out of 5, based on 4184 seller reviews(4.1)
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TOPS UB-04 Continuous Forms 1 Part - 11" x 9.50" Form Size - White - Red Print Color - 2500 / Carton
TOPS UB-04 Continuous Forms 1 Part - 11" x 9.50" Form Size - White - Red Print Color - 2500 / Carton
current price $221.95
TOPS UB-04 Continuous Forms 1 Part - 11" x 9.50" Form Size - White - Red Print Color - 2500 / Carton
Tops Billing Forms - White - 8.5 in. x 11 in.
Tops  Billing Forms - White - 8.5 in. x 11 in.
current price $205.05
Tops Billing Forms - White - 8.5 in. x 11 in.
VersaCheck - Form 1000 - Classic - Tan - 2000 Sheets
VersaCheck - Form 1000 - Classic - Tan - 2000 Sheets
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VersaCheck - Form 1000 - Classic - Tan - 2000 Sheets
Tops Two-part Cms-1500 Forms - 2 Part - Carbonless - 11" X 8.50" Sheet Size - White - 1500 / Carton (50124R)
Tops Two-part Cms-1500 Forms - 2 Part - Carbonless - 11" X 8.50" Sheet Size - White - 1500 / Carton (50124R)
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Tops Two-part Cms-1500 Forms - 2 Part - Carbonless - 11" X 8.50" Sheet Size - White - 1500 / Carton (50124R)
CMS 1500 Claim Forms - HCFA (Version 02/12) - 2500 Sheets / CASE
CMS 1500 Claim Forms - HCFA (Version 02/12) - 2500 Sheets / CASE
current price $82.00
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TOPS 59870R 8.5 in. x 11 in. UB04 Hospital Insurance Claim Form (2500/Carton)
TOPS 59870R 8.5 in. x 11 in. UB04 Hospital Insurance Claim Form (2500/Carton)
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TOPS 59870R 8.5 in. x 11 in. UB04 Hospital Insurance Claim Form (2500/Carton)
Linco Standard CMS 1500 claim form, 2500 sheets
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Account Billing Cards
Account Billing Cards
current price $139.53
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3-Ply Carbonless Paper, White/Canary/Pink, Form Size 9-1/2" x 3-2/3" W x H Carton of 3150
3-Ply Carbonless Paper, White/Canary/Pink, Form Size 9-1/2" x 3-2/3" W x H Carton of 3150
current price $158.70
3-Ply Carbonless Paper, White/Canary/Pink, Form Size 9-1/2" x 3-2/3" W x H Carton of 3150
Comparison Chart:
MaterialPlasticTOPS UB-04 Continuous Forms 1 Part - 11" x 9.50" Form Size - White - Red Print Color - 2500 / CartonPaperTops Billing Forms - White - 8.5 in. x 11 in.-VersaCheck - Form 1000 - Classic - Tan - 2000 SheetsPaperTops Two-part Cms-1500 Forms - 2 Part - Carbonless - 11" X 8.50" Sheet Size - White - 1500 / Carton (50124R)PaperCMS 1500 Claim Forms - HCFA (Version 02/12) - 2500 Sheets / CASEPaperTOPS 59870R 8.5 in. x 11 in. UB04 Hospital Insurance Claim Form (2500/Carton)-Linco Standard CMS 1500 claim form, 2500 sheetsIndex StockAccount Billing Cards-3-Ply Carbonless Paper, White/Canary/Pink, Form Size 9-1/2" x 3-2/3" W x H Carton of 3150
Sheets2500TOPS UB-04 Continuous Forms 1 Part - 11" x 9.50" Form Size - White - Red Print Color - 2500 / Carton2500Tops Billing Forms - White - 8.5 in. x 11 in.2000VersaCheck - Form 1000 - Classic - Tan - 2000 Sheets1500Tops Two-part Cms-1500 Forms - 2 Part - Carbonless - 11" X 8.50" Sheet Size - White - 1500 / Carton (50124R)2500CMS 1500 Claim Forms - HCFA (Version 02/12) - 2500 Sheets / CASE2500TOPS 59870R 8.5 in. x 11 in. UB04 Hospital Insurance Claim Form (2500/Carton)2500Linco Standard CMS 1500 claim form, 2500 sheets500Account Billing Cards31503-Ply Carbonless Paper, White/Canary/Pink, Form Size 9-1/2" x 3-2/3" W x H Carton of 3150
Paper size8-1/2-x-11-inchTOPS UB-04 Continuous Forms 1 Part - 11" x 9.50" Form Size - White - Red Print Color - 2500 / Carton8.5 in. x 11 in.Tops Billing Forms - White - 8.5 in. x 11 in.letter-sizeVersaCheck - Form 1000 - Classic - Tan - 2000 Sheets9-1/2-x-11-inchTops Two-part Cms-1500 Forms - 2 Part - Carbonless - 11" X 8.50" Sheet Size - White - 1500 / Carton (50124R)8.5-x-11-inchesCMS 1500 Claim Forms - HCFA (Version 02/12) - 2500 Sheets / CASE8.5 in. x 11 in.TOPS 59870R 8.5 in. x 11 in. UB04 Hospital Insurance Claim Form (2500/Carton)-Linco Standard CMS 1500 claim form, 2500 sheets-Account Billing Cards9-1/2" x 3-2/3"3-Ply Carbonless Paper, White/Canary/Pink, Form Size 9-1/2" x 3-2/3" W x H Carton of 3150
Has written warrantyNoTOPS UB-04 Continuous Forms 1 Part - 11" x 9.50" Form Size - White - Red Print Color - 2500 / CartonNoTops Billing Forms - White - 8.5 in. x 11 in.NoVersaCheck - Form 1000 - Classic - Tan - 2000 SheetsYes - Warranty TextTops Two-part Cms-1500 Forms - 2 Part - Carbonless - 11" X 8.50" Sheet Size - White - 1500 / Carton (50124R)NoCMS 1500 Claim Forms - HCFA (Version 02/12) - 2500 Sheets / CASEYes - Warranty TextTOPS 59870R 8.5 in. x 11 in. UB04 Hospital Insurance Claim Form (2500/Carton)NoLinco Standard CMS 1500 claim form, 2500 sheetsNoAccount Billing CardsNo3-Ply Carbonless Paper, White/Canary/Pink, Form Size 9-1/2" x 3-2/3" W x H Carton of 3150
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