Loading...
No sustainability criteria met – consider a greener alternative. more

All Images

UB04 Claim Forms, 8 1/2 x 11, 2500 Forms

Manufacturer: Paris Business Products

Item Number: PRB05108

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

$164.79

per CT

  • Made in the USA
    • Made in the USA
Details

Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 2500; Sheet Size: 8 1/2 x 11.

Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 2500; Sheet Size: 8 1/2 x 11.

Paper Color(s) White 
Sheet Size 8 1/2 x 11 
Global Product Type Forms-Medicare/Medicaid 
Paper Stock 20 lb. 
Special Features UB04 Hospital Insurance Claim Forms 
Quantity 2,500 per carton 
Form Quantity 2500 
Form Size 8 1/2 x 11 
Forms Per Page
Reviewer Product Comments