UB04 Insurance Claim Form, 8 1/2 x 11, 2500 Forms

Name: UB04 Insurance Claim Form, 8 1/2 x 11, 2500 Forms
Brand: Paris Corporation
SKU: PRB05108
Availability: OutOfStock

Item # PRB05108

Click image to zoom in

Running Low on Ink or Toner?

Product Details

Product Highlights

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

Dimensions / Specifications
Unit of Measure	CT
Item Dimensions	9.00 in. x 10.00 in. x 11.50 in. (W x H x D)
Item Weight	27.000 lbs
Carton Pack Quantity	2500 SH
Carton Pack Dimensions	9.00 in. x 10.00 in. x 11.50 in. (W x H x D)
Carton Pack Weight	27.000 lbs
This item is sold by the CT which contains 2500 SH

Additional Information
Is Certified with EPA/CPG?	No
Considered Green (less environmental impact)?	No
Made of Some or All Recycled Materials?	No
Warranty Offered?	No
Underwriter's Laboratory Approval?	No

Item Specifications
Brand	Paris Corporation
Global Product Type	Forms-Insurance
Form Size	8 1/2 x 11
Forms Per Page	1
Form Quantity	2500
Sheet Size	8 1/2 x 11
Paper Stock	20 lb.
Paper Color(s)	White
Special Features	UB04 Hospital Insurance Claim Forms