Paris Corporation UB04 Insurance Claim Form, 1-Part Continuous White, 9 1/2 x 11, 2500 Forms (Paris Corporation 05109) - New & Original

UB04 Insurance Claim Form, 1-Part Continuous White, 9 1/2 x 11, 2500 Forms
Learn More About Paris Business Products 5109

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List Price: $124.39

Our Price: $116.26


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Specifications

Manufacturer: Paris Business Products
Manufacturer Part Number: 5109
Databazaar Part Number: PRB05109
Type: Accounting Forms
Condition: New & Original
UPC: 090146051097
Weight: 30.00 lbs.
Description:
Paris Corporation UB04 Insurance Claim Form, 1-Part Continuous White, 9 1/2 x 11, 2500 Forms Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. Form Size: 9 1/2 x 11; Forms Per Page: 1; Form Quantity: 2500; Sheet Size: 9 1/2 x 11.

Product Details

Global Product Type:Forms-Insurance
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
Footnote 1:One-part continuous feed, white
Special Features:UB04 Hospital Insurance Claim Forms

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