{"product_id":"eho-b00v1jgo9a","title":"TOPS 59870R UB04 Hospital Insurance Claim Forms","description":"\u003cp\u003e\u003cstrong\u003eBrand:\u003c\/strong\u003e TOPS\u003c\/p\u003e\u003cp\u003e\u003cstrong\u003eModel:\u003c\/strong\u003e Tops 59870R\u003c\/p\u003e\u003ch4\u003eFeatures\u003c\/h4\u003e\u003cul\u003e\n\u003cli\u003eContinuous forms are designed for hospitals to file a claim with the patient's insurance company\u003c\/li\u003e\n\u003cli\u003eForms are printed to GPO standards in OCR ink on 20 lb. bond\u003c\/li\u003e\n\u003cli\u003eHealth Care Finance Administration format ensures accuracy in reporting all necessary information\u003c\/li\u003e\n\u003cli\u003e11\" Length x 8.50\" Width; 2500 \/ Carton\u003c\/li\u003e\n\u003cli\u003eReplaces the UB-92\u003c\/li\u003e\n\u003c\/ul\u003e\u003ch4\u003eDetails\u003c\/h4\u003e\u003cp\u003eTOPS continuous UB04 hospital insurance claim forms are designed for hospitals filing claims with patients’ insurance companies. Printed in OCR ink and formatted to GPO and Health Care Finance Administration standards, they support accurate reporting of necessary information and replace the UB-92.\u003c\/p\u003e\u003cp\u003e\u003cstrong\u003eUPC:\u003c\/strong\u003e 823019819933\u003c\/p\u003e","brand":"TOPS","offers":[{"title":"Default Title","offer_id":44312477368407,"sku":"823019819933","price":217.28,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0084\/0450\/0531\/files\/51vXfMjjPZL._SL500.jpg?v=1789725837","url":"https:\/\/ecohomeoffice.com\/products\/eho-b00v1jgo9a","provider":"Eco home office","version":"1.0","type":"link"}