Paris Corporation UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms (Paris Corporation 05110) - New & Original

UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms
Learn More About Paris Business Products 5110

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List Price: $192.45

Our Price: $133.82


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Availability: In stock and Ready to Ship! Current Stock: 71 units Sold in last 60 days: 12

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Specifications

Manufacturer: Paris Business Products
Manufacturer Part Number: 5110
Databazaar Part Number: PRB05110
Type: Accounting Forms
Condition: New & Original
UPC: 090146051103
Weight: 31.00 lbs.
Description:
Paris Corporation UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 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: 1000; 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:1000
Sheet Size:9 1/2 x 11
Copy Types:Continuous Feed
Paper Stock:20 lb.
Paper Color(s):White; Canary
Footnote 1:Two-part continuous feed, white/white. Carbonless
Special Features:UB04 Hospital Insurance Claim Forms

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UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms Reviews

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