Paris Corporation Insurance Claim Forms

5 item variations by Paris Corporation
FREE shipping on orders over $75!
starting at $23.74 USD / CT

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Product Variations

PRB07102 Thumbnail
BUY EACH
$23.74 /CT
DELIVERY: 1 - 2 business days
Stock: 7
PRB05109 Thumbnail
BUY EACH
$41.31 /CT
DELIVERY: 1 - 2 business days
Stock: 30
PRB05110 Thumbnail
BUY EACH
$47.57 /CT
DELIVERY: 1 - 2 business days
Stock: 69
PRB07116 Thumbnail
BUY EACH
$47.69 /CT
DELIVERY: 1 - 2 business days
Stock: 42
PRB05108 Thumbnail

This item is no longer available for purchase


Product Details

Paris Corporation Insurance Claim Forms

Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.

Product Specifications

Item Specifications
Global Product Type Forms-Insurance
Form Size Available in: 8 1/2 x 11 or 9 1/2 x 11
Forms Per Page 1
Form Quantity Available in: 1000 or 2500
Sheet Size Available in: 8 1/2 x 11 or 9 1/2 x 11
Copy Types Available in: Carbonless Duplicate or Continuous Feed
Paper Stock 20 lb.
Paper Color(s) Available in: Canary or White
Footnote 1 Available in: One-part continuous feed, white, Two-part continuous feed, white/canary. Carbonless or Two-part continuous feed, white/white. Carbonless
Special Features Available in: Centers for Medicare and Medicaid Services (CMS) Forms or UB04 Hospital Insurance Claim Forms
Brand Paris Corporation
Copy Paper Color(s) Canary
Manufacturer Info
Brand Paris Corporation  (website)
Brand Contact 800-523-6454

Customer Questions and Answers

 
Your question has been received, and we will work to answer it quickly! If you need immediate assistance, please call us at 1-866-501-6055.

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Document printed / saved on 08/14/2018. Prices subject to change.