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

Manufacturer: Paris Business Products

Item Number: PRB05110

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

$197.99

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. Two-part continuous feed, white/canary. Form Size: 9 1/2 x 11; Forms Per Page: 1.

Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. Two-part continuous feed, white/canary. Form Size: 9 1/2 x 11; Forms Per Page: 1.

Paper Color(s) Canary, White 
Sheet Size 9 1/2 x 11 
Global Product Type Forms-Medicare/Medicaid 
Copy Types Continuous Feed 
Paper Stock 20 lb. 
Special Features UB04 Forms (Formerly known as HCFA 1450) 
Quantity 1,000 per carton 
Form Quantity 1,000 
Form Size 9 1/2 x 11 
Forms Per Page
Reviewer Product Comments