TOPS UB-04 1-Part Health Insurance Claim, 2500/Carton Safety 5 True Color: Red Warranty

5 True Color: Red Warranty Information: Limited Warranty Weight (lbs

and keep track of

while the double O-frame pedestal construction offers extra support and sturdiness

The pneumatic seat height adjuster works with a simple weight shift

TOPS UB-04 1-Part Health Insurance Claim, 2500/Carton Safety 5 True Color: Red WarrantyEnsure insurance claims get all the information they need with these letter size hospital insurance claim forms. Each one uses the Health Care Finance Administration format to ensure accuracy in reporting all required information, while the 20 pound paper weight provides a sturdy feel. These TOPS UB04 hospital insurance claim forms come in a pack of 2,500, so it's easy to stay stocked up. Brand Name: TOPS Form Size: 8 1 2" x 11" Length in Inches: 11