Paris Corporation UB04 Insurance Claim Form, 1-Part Continuous White, 9 1/2 x 11, 2500 Forms PRB05109 05109
Manufacturer: Paris Corporation
Mfg Number: PRB05109
SKU:
Model: 05109
Condition:
New
UPC: 090146051097
Specifications
| Global Product Type | Forms-Insurance |
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| Form Size | 9 1/2 x 11 |
|---|
| Forms Per Page | 1 |
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| Form Quantity | 2500 |
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| Sheet Size | 9 1/2 x 11 |
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| Copy Types | Continuous Feed |
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| Paper Stock | 20 lb. |
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| Paper Color | White |
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| Footnote 1 | One-part continuous feed, white |
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| Special Features | UB04 Hospital Insurance Claim Forms |
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Description
Expedite Medicare, Medicaid or private insurance claims processing.
Forms meet all Federal regulations.
Formerly known as HCFA-1500 forms.
