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

Item #: PRB05108
by Paris Corporation
Made in USA
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Delivery in 1 - 2 business days
Nationwide Stock: 44 CT
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QTY PRICE DELIVERY
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Product Details

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

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


Product Specifications

Item Specifications
Brand Paris Corporation
Global Product Type Forms-Insurance, Forms-Insurance, Forms-Insurance, Forms-Insurance, 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, UB04 Hospital Insurance Claim Forms, UB04 Hospital Insurance Claim Forms, UB04 Hospital Insurance Claim Forms, UB04 Hospital Insurance Claim Forms

Dimensions / Specifications
Unit of Measure CT
Item Weight 27.000 lbs
Ships via UPS? y
Carton Pack Quantity 2500 SH
This item is sold by the CT which contains 2500 SH

Catalog Information
Catalog Page No.'s EVERYTHING FOR THE WORKPLACE 2012: Page 954
EVERYTHING FOR THE WORKPLACE 2013: Page 955
EVERYTHING FOR THE WORKPLACE 2014: Page 967
EVERYTHING FOR THE WORKPLACE 2015: Page 983
EVERYTHING FOR THE WORKPLACE NON-VIRTUAL 2015: Page 983
EVERYTHING FOR THE WORKPLACE NON-VIRTUAL 2016: Page 979
EVERYTHING FOR THE WORKPLACE NON-VIRTUAL 2017: Page 911
Manufacturer Info
Brand Paris Corporation  (website)
Brand Contact 800-523-6454
Manufacturer Stock No. 05108
Retail UPC 090146051080
Country of Origin US
Tariff (Inbound) Code
UNSPSC Number 14111806
Meets ANSI/BIFMA? 090146051080
OTS Product ID 9147927

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Document printed / saved on 07/28/2017. Prices subject to change.