{"product_id":"top59870r","title":"TOPS 1-part UB-04 Laser-cut Forms","description":"\u003cp\u003eMeet the TOPS 1-part UB-04 Laser-cut Forms: built for everyday classroom, office, and event use.\u003c\/p\u003e\u003cp\u003e1 Part - 11\" x 8.50\" Form Size - White - Red Print Color - 2500 \/ Carton\u003c\/p\u003e\u003cp\u003e\u003cstrong\u003eWhy you'll love it\u003c\/strong\u003e\u003c\/p\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\u003c\/ul\u003e\u003cp\u003e\u003cstrong\u003eProduct details\u003c\/strong\u003e\u003cbr\u003eBrand: TOPS\u003cbr\u003eCategory: Claim Form\u003cbr\u003eSold as: 2500 \/ Carton\u003cbr\u003eItem #: TOP59870R\u003c\/p\u003e\u003cp\u003eSupplied by \u003cstrong\u003eEd \u0026amp; Leute LLC\u003c\/strong\u003e — your trusted supplier for schools, offices, and businesses. Reliable fulfillment and friendly service on every order.\u003c\/p\u003e","brand":"TOPS","offers":[{"title":"Default Title","offer_id":54533609390364,"sku":"TOP59870R","price":290.24,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0883\/3443\/4588\/files\/1014265164.jpg?v=1788800816","url":"https:\/\/edandleute.com\/products\/top59870r","provider":"Ed\u0026Leute.com","version":"1.0","type":"link"}