UB04 Insurance Claim Form, 1-Part Continuous White, 9 1/2...
$159.99
Required by Centers for Medicaid and Medicare Services (CMS) and by most private healthcare organizations, these forms speed up claims processing...
Wirebound Message Book, 4 x 5 1/2, Two-Part, 200 Forms, 120 Alert Labels
$15.99
Tax excluded
Includes 120 Alert™ labels to highlight important information. Duplicate copies maintain important information.
RED50726
381 Items
Data sheet
- Special Features
- Book Size 11 x 8 1/2
- Binding
- Side
- Binding
- Wire
- Paper Color(s)
- Pink
- Global Product Type
- Forms-Memo & Message
- Pre-Consumer Recycled Content Percent
- 0%
- Post-Consumer Recycled Content Percent
- 0%
- Total Recycled Content Percent
- 0%
- Form Size
- 4 x 5 1/2
- Forms Per Page
- 4
- Form Quantity
- 200
- Sheet Size
- 8 1/2 x 11
- Principal Heading(s)
- While You Were Out
- Layout
- Four Forms on Page, Two Across, Two Down
- Print and Ruling Color(s)
- Black
- Copy Types
- Carbonless Duplicate
- Copy Paper Color(s)
- Yellow
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Includes 120 Alert™ labels to highlight important information. Duplicate copies maintain important information.