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Claim & Medical Forms

Claim & Medical Forms

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    TOPS 1-part UB-04 Laser-cut Forms - 1 Part - 11" x 8.50" Form Size - White - Red Print Color - 2500 / Carton
    SKU: TOP59870R

    TOPS

    $333.15

    TOPS 1-part UB-04 Laser-cut Forms - 1 Part - 11" x 8.50" Form Size - White - Red Print Color - 2500 / Carton

    • Best Quality
    UB-04 laser-cut forms are designed for medical offices 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...
    $333.15
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    TOPS CMS-15000 Health Insurance Claim Forms - 20 lb - 11" x 8.50" Sheet Size - White Sheet(s) - Red Print Color - 250 / Pack
    SKU: TOP50135RV

    TOPS

    $39.40

    TOPS CMS-15000 Health Insurance Claim Forms - 20 lb - 11" x 8.50" Sheet Size - White Sheet(s) - Red Print Color - 250 / Pack

    • Best Quality
    Health insurance claim forms are in the CMS, NUCC and OMB approved format. They are printed front and back in red OCR ink on white, letter-size, 20 lb. bond for convenient scanning. Forms are compatible with laser printers.
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What our customer says about us

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I had a great experience shopping with your company and always love the customer care that I receive

Joyson S.

1 March 2021
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The ability to easily search for what I am looking for and the final products ordered are awesome.

Marie Q.

2 July 2021
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Great selection, always helpful and fast to respond. I would recommend this product and company as a whole!

Parham B.

5 June 2022
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I love the ability to search for what I am looking for and have it placed in front of me, so I can make a selection quickly.

Neeraj S.

10 April 2022
★★★★★

I had a great experience shopping with your company and always love the customer care that I receive

Joyson S.

1 March 2021
★★★★★

The ability to easily search for what I am looking for and the final products ordered are awesome.

Marie Q.

2 July 2021
★★★★★

Great selection, always helpful and fast to respond. I would recommend this product and company as a whole!

Parham B.

5 June 2022
★★★★★

I love the ability to search for what I am looking for and have it placed in front of me, so I can make a selection quickly.

Neeraj S.

10 April 2022

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