UB04 Insurance Claim Form, Two-Part Continuous Feed, 9.5 x 11, 1/Page,1,000 Forms

Name: UB04 Insurance Claim Form, Two-Part Continuous Feed, 9.5 x 11, 1/Page,1,000 Forms
Brand: Paris Corporation
SKU: PRB05110
Availability: OutOfStock

Item # PRB05110

Brand: Paris Corporation

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Product Details

Product Highlights

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

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

Product Specifications

Dimensions / Specifications
Unit of Measure	CT
Item Dimensions	10.00 in. x 9.00 in. x 11.50 in. (W x H x D)
Item Weight	31.000 lbs
Carton Pack Quantity	1000 SH
Carton Pack Dimensions	10.00 in. x 9.00 in. x 11.50 in. (W x H x D)
Carton Pack Weight	31.000 lbs
This item is sold by the CT which contains 1000 SH

Shipping Info
Can Ship via UPS?	Yes
Can Ship via Air Carrier?	Yes
Hazmat restrictions?	No

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
Copy Types	Two-Part Continuous Feed
Form Size	9.5 x 11
Forms Per Page	1
Form Quantity	1,000
Sheet Size	9.5 x 11
Paper Stock	20 lb
Paper Color(s)	White
Print and Ruling Color(s)	Red
Copy Paper Color(s)	Canary
Footnote 1	Two-part continuous feed, white/white. Carbonless
Special Features	UB04 Hospital Insurance Claim Forms

Manufacturer Info
Brand	Paris Corporation (website)
Brand Contact	800-523-6454
Warranty Offered?	n
Manufacturer Stock No.	05110
Retail GTIN (UPC)
Country of Origin	US
UNSPSC Number	00141118
Product ID	9147901