PRB05109 UB04 Claim Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 Forms By PARIS BUSINESS PRODUCTS
Item # PRB05109
Brand: Paris Business Products
Reg. $189.22
Sale $209.26
(You Save -11%)
In Stock - Usually ships the next business day
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Description
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.
Specifications
- Expedite Medicare, Medicaid or private insurance claims processing.
- Forms meet all Federal regulations.
- Formerly known as HCFA-1500 forms.
- Dimension With Packaging: 11.5(D) x 9(W) x 10(H)
- Includes 2,500 forms.
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