UB04 Claim Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 FormsParis Business Products

Paris Business Products 05109 UB04 Claim Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 Forms®

Model: 05109 Item: PRB05109

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$212.64$13609 / each 


  • In Stock - 72 available / 0 sold
  • 2-5 Business Days Delivery Orders placed before 2PM EST usually ship out the same day. Orders placed Friday after 2PM EST will ship the following Monday. Expected Delivery: 2-5 Business Days
  • No Sales Tax (Except Florida - 7% and California 7.5%)Tax: No Sales Tax (Except Florida - 7%)
  • No-Hassle Warranty & ReturnsWarranty: No-Hassle Warranty & Returns
  • Online Only

Full Description of Paris Business Products 05109

Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. One-part continuous feed, white. Form Size: 9 1/2 x 11; Forms Per Page: 1; Form Quantity: 2,500; Sheet Size: 9 1/2 x 11.


Why buy Paris Business Products 05109 from Printerbazaar?

  • The Cheapest Prices On The Internet
  • Award-Winning Customer Service
  • No-Hassle Return Policy
  • Caters to Schools, Military and Government
  • Mobile Friendly Shopping Experience : No Apps Required

Product Details of UB04 Claim Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 Forms (Paris Business Products 05109)

  • Global Product Type: Forms-Medicare/Medicaid
  • Form Size: 9 1/2 x 11
  • Forms Per Page: 1
  • Form Quantity: 2,500
  • Sheet Size: 9 1/2 x 11
  • Copy Types: Continuous Feed
  • Paper Stock: 20 lb.
  • Paper Color(s): White
  • Quantity: 2,500 per carton
  • Special Features: UB04 Forms (Formerly known as HCFA 1450)
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