UB04 Claim Forms, 8 1/2 x 11, 2500 Forms by Paris Business Products

Product ID:

190865

(0)
$106.84 / CT
$98.74 / CT
when buying 4+
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List Price: $165.05
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  Estimated 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 2,500 forms.

Specifications

Global Product Type Forms-Insurance
Form Size 8 1/2 x 11
Forms Per Page 1
Form Quantity 2500
Sheet Size 8 1/2 x 11
Paper Stock 20 lb.
Paper Color White
Special Features UB04 Hospital Insurance Claim Forms
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