Paris UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms (05110)

Paris UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms (05110)

$30.24

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Paris UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms (05110)

UB04 Insurance Claim Form, Two-Part Continuous Feed, 9.5 x 11, 1/Page,1,000 Forms

Model: 05110

Paris UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms (05110)Paris UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms (05110)
Paris UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms (05110)

Paris UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms (05110)

Model: 05110

UB04 Insurance Claim Form, Two-Part Continuous Feed, 9.5 x 11, 1/Page,1,000 Forms

$30.24 ($0.03/SH)

Paris
- +

Temporarily Out of Stock

  • Expedite Medicare, Medicaid or private insurance claims processing.

  • Forms meet all Federal regulations.

  • Formerly known as HCFA-1500 forms.

$30.24

($0.03/SH)

- +

Temporarily Out of Stock

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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.

Features

  • Expedite Medicare, Medicaid or private insurance claims processing.

  • Forms meet all Federal regulations.

  • Formerly known as HCFA-1500 forms.

Manufacturer

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

TAA Compliant

Yes

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

Manufacturer Stock No.

98035

Country of Origin

US

UNSPSC Number

14111806

Questions & Answers

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Officecrave.com is a leader in office supplies and business supplies including technology products, maintenance supplies, furniture and more. We always aim to provide businesses with the most affordable price on the highest-quality items and the Paris 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 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 offer 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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