Highlights
View Details- Printed to Government Printing Office standards.
- OCR ink for scanning.
- American Medical Association (AMA) approved format.
UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total
$343.15
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Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
- Printed to Government Printing Office standards.
- OCR ink for scanning.
- American Medical Association (AMA) approved format.
| Manufacturer # | 59870R |
| Global Product Type | Insurance Forms |
| Form Type Details | UB04 |
| Dated/Undated | Undated |
| Forms Per Page | 1 |
| Form Size | 8.5 x 11 |
| Format Indicator | Unbound |
| Form Quantity (Total) | 2,500 |
| Copy Types | One-Part (No Copies) |
| Paper Color(s) | White |
| Color Family | White |
| Printer Compatibility | Laser |
| Paper Stock | 20 lb Bond |
| Print and Ruling Color(s) | Red |
| Product Biodegradability in Days | 0 |
| Pre-Consumer Recycled Content Percent | 0% |
| Post-Consumer Recycled Content Percent | 0% |
| Total Recycled Content Percent | 0% |
| Special Features | Laser Printer Compatible |
Details
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
- Printed to Government Printing Office standards.
- OCR ink for scanning.
- American Medical Association (AMA) approved format.
| Attribute Name | Attribute Value |
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