PRB05110 UB04 Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms By PARIS BUSINESS PRODUCTS
Item # PRB05110
Brand: Paris Business Products
Reg. $201.38
Sale $236.72
(You Save -18%)
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 10(W) x 9(H)
- Includes 1,000 forms.
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