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Paris Business Products 05110 UB04 Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms®

Paris Business Products

UB04 Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms

Item: PRB05110  Model: 05110

UB04 Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms
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List Price :  $239.58
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Summary:
UB04 Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms  
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Brand: Paris Business Products
Model: 05110
Part Number: PRB05110
Color: White; Canary
Description : Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. Two-part continuous feed, white/canary. Carbonless. Form Size: 9 1/2 x 11; Forms Per Page: 1; Form Quantity: 1,000; Sheet Size: 9 1/2 x 11.

Full Specifications of UB04 Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms (Paris Business Products 05110)  
  • Global Product Type: Forms-Medicare/Medicaid
  • Form Size: 9 1/2 x 11
  • Forms Per Page: 1
  • Form Quantity: 1,000
  • Sheet Size: 9 1/2 x 11
  • Copy Types: Continuous Feed
  • Paper Stock: 20 lb.
  • Paper Color(s): White; Canary
  • Quantity: 1,000 per carton
  • Special Features: UB04 Forms (Formerly known as HCFA 1450)

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