About

Description
Allows healthcare providers to bill a patient's insurance company for reimbursement of medical claims
  • Use for medical forms to ensure patients' privacy.
Specs
Manufacturer # E-1492LL
Acid Free Yes
Brand Name TFP Data Systems
Color White
Eco Label Standard SFI Certified Fiber Sourcing
Envelope Closure Self-Adhesive
Envelope Size Class #6 1/2
Envelope Use Forms
Form Type Ub-04
Height 6 in.
Manufacturer TAX FORMS PRINTING, INC.
Description
Allows healthcare providers to bill a patient's insurance company for reimbursement of medical claims
  • Use for medical forms to ensure patients' privacy.
Attribute Name Attribute Value
TFP Data Systems by TFP Data Systems E-1492LL

UB04 Hospital Claim Envelopes, Box Of 500

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