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Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. UB04 Hospital Insurance Claim Forms. Form Size: 9.5 x 11; Forms Per Page: 1; Form Quantity: 1,000; Sheet Size: 9.5 x 11.
Expedite Medicare, Medicaid or private insurance claims processing.
Forms meet all Federal regulations.
Formerly known as HCFA-1500 forms.
Manufacturer | Paris Corporation |
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Categories | Paris Corporation Office SuppliesParis Corporation Forms, Recordkeeping & Reference MaterialsParis Corporation Forms |
Manufacturer Stock No. | 05110 |
MPN | PRB05110 |
Model# | 05110 |
UPC Code | 090146051103 |
UNSPSC Code | 0 |
Copy Paper Color(s) | Canary |
Copy Types | Two-Part Continuous Feed |
Footnote 1 | Two-part continuous feed, white/white. Carbonless |
Form Quantity | 1,000 |
Form Size | 9.5 x 11 |
Forms Per Page | 1 |
Global Product Type | Forms-Insurance |
Paper Color(s) | White |
Paper Stock | 20 lb |
Print and Ruling Color(s) | Red |
Sheet Size | 9.5 x 11 |
Special Features | UB04 Hospital Insurance Claim Forms |
Assembly Required | No assembly is required |
Contains Recycled Materials | N |
Green Product | N |
Unit of Measure | CT |
Item Weight | 31 |
Ships via UPS | Y |
Carton Pack Quantity | 1000 SH |
This item is sold by the | CT which contains 1000 SH |
Brand | Paris Corporation |
Country of Origin | US |
UNSPSC Number | 14111806 |
zoolie.com is a leading provider of cleaning supplies including printer supplies, industrial supplies, janitorial supplies, and more. We strive to provide businesses with the lowest price on the highest-quality items and the Paris Corporation UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms (05110) is no exception.
We work with customers from all industries, including schools, government, medical, accounting, corporate, educational, healthcare, finance, military and private industry.
All our products including the Paris Corporation UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms (05110) are manufactured under ISO 9001 Quality Standards. We also keep a full line of TAA compliant products. Being green is an important part of our business and we are meeting all Green Compliance Standards.
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