Allows healthcare providers to bill a patient’s insurance company for reimbursement of medical claims
- Use for medical forms to ensure patients’ privacy.
| Item # | 799198 |
| Manufacturer # | E-1492LL |
| color | White |
| envelope size class | #6 1/2 |
| width | 9 in. |
| height | 6 in. |
| envelope closure | Self-Adhesive |
| form type | Ub-04 |
| Product Line | UB-04 Hospital Claim Envelopes |
| number of windows | 1 |
| window placement | Top Left |
| acid free | Yes |
| envelope use | Forms |
| moisture resistant | No |
| quantity | 500 |
| brand name | TFP Data Systems |
| Eco Label Standard | SFI Certified Fiber Sourcing |
| manufacturer | TAX FORMS PRINTING, INC. |
| Total Quantity | 500 Envelopes |
| UPC | 094922030238 |


















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