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Paris Corporation UB04 Insurance Claim Form, Two-Part Continuous Feed, 9.5 x 11, 1/Page,1,000 Forms (05110)

  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.
More Details
$30.24 $184.44
OUT OF STOCK

Product#: 05110

EXPIDITED SHIPPING - Estimated Delivery Mon 4/1

Product Description

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.

Product Specification

Manufacturer Paris Corporation
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

Paris Corporation UB04 Insurance Claim Form, Two-Part Continuous Feed, 9.5 x 11, 1/Page,1,000 Forms (05110) Reviews

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