Paris Business UB04 Claim Forms, 1 Part, 9 1/2 x 11, 2500 Forms (PRB05109)

 
$124.04 /Carton
 
 
Paris Business Products UB04 Claim Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 Forms
  • Product SKU: PRB05109
  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.

Product Details

UB04 Claim Forms

Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. One-part continuous feed, white. Form Size: 9 1/2 x 11; Forms Per Page: 1.

Product Specifications

  • Global Product Type: Forms-Medicare/Medicaid
  • Form Size: 9 1/2 x 11
  • Forms Per Page: 1
  • Form Quantity: 2500
  • Sheet Size: 9 1/2 x 11
  • Copy Types: Continuous Feed
  • Paper Stock: 20 lb.
  • Paper Color(s): White
  • Quantity: 2,500 per carton
  • Footnote 1: One-part continuous feed, white
  • Special Features: UB04 Hospital Insurance Claim Forms

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Paris Business UB04 Claim Forms, 1 Part, 9 1/2 x 11, 2500 Forms (PRB05109)
Paris Business UB04 Claim Forms, 1 Part,  9 1/2 x 11, 2500 Forms (PRB05109)
Sku: PRB05109
Weight: 30 lbs.
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