Paris Business Products UB04 Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms

Sku:

PRB05110

Upc:

090146051103

(0)
$167.82 / CT
$147.48 / CT
when buying 4+
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List Price: $184.60
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  Delivery time 1-3 business days
  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.

Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.

Includes 1,000 forms.

Specifications

Global Product Type Forms-Insurance
Form Size 9 1/2 x 11
Forms Per Page 1
Form Quantity 1000
Sheet Size 9 1/2 x 11
Copy Types Continuous Feed
Paper Stock 20 lb.
Paper Color White, Canary
Footnote 1 Two-part continuous feed, white/white. Carbonless
Special Features UB04 Hospital Insurance Claim Forms
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