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Medical/Insurance Forms


No sustainability criteria met – consider a greener alternative. more

UB04 Hospital Insurance Claim Form, 8 1/2 x 11, 2,500 Forms

Manufacturer: TOPS®

Item Number: TOP59870R

  • Printed to Government Printing Office standards.
  • OCR ink for scanning.
  • American Medical Association (AMA) approved format.
  • Made in the USA
    • Made in the USA

$185.39

per CT


No sustainability criteria met – consider a greener alternative. more

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.
  • Made in the USA
    • Made in the USA

$164.79

per CT


No sustainability criteria met – consider a greener alternative. more

UB04 Claim Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 Forms

Manufacturer: Paris Business Products

Item Number: PRB05109

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

$200.84

per CT


No sustainability criteria met – consider a greener alternative. more

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.
  • Made in the USA
    • Made in the USA

$216.29

per CT


No sustainability criteria met – consider a greener alternative. more

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

Manufacturer: Paris Business Products

Item Number: PRB07116

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

$216.29

per CT


No sustainability criteria met – consider a greener alternative. more

CMS Forms, 2 Part Continuous White/White, 9 1/2 x 11, 1000 Forms

Manufacturer: Paris Business Products

Item Number: PRB07114

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

$113.29

per CT


No sustainability criteria met – consider a greener alternative. more

CMS Forms, 8 1/2 x 11, 500/Ream

Manufacturer: Paris Business Products

Item Number: PRB07106

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

$37.07

per RM


No sustainability criteria met – consider a greener alternative. more

CMS Forms, 8 1/2 x 11, 250 Forms

Manufacturer: Paris Business Products

Item Number: PRB07104

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

$14.87

per RM


No sustainability criteria met – consider a greener alternative. more

CMS Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 Forms

Manufacturer: Paris Business Products

Item Number: PRB07102

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

$107.75

per CT