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Product Specifications
UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total
TOP59870R
59870R
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format. Laser Printer Compatible. Form Type Details: UB04; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
Available
UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total
Contract ID: 47QSCCD0007
Vendor: ESSENDANT
Assembly Indicator: N
Country of Origin: United States
Green Indicator: N
Item Depth: 12
Item Height: 10.25
Item Width: 9.25
Item Weight: 26
Selling Copy Short: Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Selling Copy Medium: Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
Selling Point #1: Printed to Government Printing Office standards.
Selling Point #2: OCR ink for scanning.
Selling Point #3: American Medical Association (AMA) approved format.
Unit of Measure Qty: 2500
NCP000010646
Product Description
Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.