TOPS UB04 Health Care Form Revised HCFA Compliant 59770R

TOPS UB04 Health Care Form Revised HCFA Compliant 59770R
TOPS UB04 Health Care Form Revised HCFA Compliant 59770R
TOPS UB04 Health Care Form Revised HCFA Compliant 59770R
TOPS UB04 Health Care Form Revised HCFA Compliant 59770R
TOPS UB04 Health Care Form Revised HCFA Compliant 59770R
TOPS UB04 Health Care Form Revised HCFA Compliant 59770R
TOPS UB04 Health Care Form Revised HCFA Compliant 59770R
TOPS UB04 Health Care Form Revised HCFA Compliant 59770R

Model: TOP22223

Brand: Tops

(1) 1 shops 0 products

Detailed product description

Revised Format. AMA approved format. The UB-04 is the form hospitals and institutions e to file a medical claim with the patient's insurance company. e TOPS UB-04 forms with confidence. They meet the requirements of the Centers for Medicare and Medicaid Services (CMS) and are available in Laser and Continuo formats. Revised Format. AMA approved format. The UB-04 is the form hospitals and institutions e to file a medical claim with the patient's insurance company. e TOPS UB-04 forms with confidence. They meet the requirements of the Centers for Medicare and Medicaid Services (CMS) and are available in Laser and Continuo formats. . Sold as 2500/Carton.

TOPS UB04 Health Care Form Revised HCFA Compliant 59770R

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Product specifications

Technical details

Manufacturer -
Brand Tops
Item model number TOP22223
Color White
Weight -
Height -
Depth -

Additional product information

Product Id 1541223
User Reviews and Ratings 3 (1 ratings) 3 out of 5 stars
UPC 025932222238

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