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

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

Brand: Paris Business Products
Item Number: PRB05110

Paris Business Products Insurance Claim Forms

Government regulated health insurance forms.
  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.
MSRP: $170.77
Qty:
$169.99 per CT
Conventional

Recycled Content

No Matching Criteria

Biodegradable/Compostable

No Matching Criteria

Reduced Chemical Content

No Matching Criteria

Third Party Certifications

No Matching Criteria

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.

Global Product Type Forms-Medicare/Medicaid
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
No greener items (0)
No product line items
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