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UB04 Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms

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Item #: PRB05110   by Paris Business Products
Made in USA
$170.77 USD/CT
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$80.33/CT
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Delivery in 1 - 2 business days
Nationwide Stock: 81 CT

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Product Details

UB04 Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms

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

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Item Specifications
Brand Paris Business Products
Global Product Type Forms-Insurance
Form Size 9 1/2 x 11
Forms Per Page 1
Form Quantity 1000
Sheet Size 9 1/2 x 11
Copy Types Continuous Feed
Paper Stock 20 lb.
Paper Color(s) Canary, White
Footnote 1 Two-part continuous feed, white/white. Carbonless
Special Features UB04 Hospital Insurance Claim Forms

Dimensions / Specifications
Unit of Measure CT
Item Weight 31.000 lbs
Ships via UPS? y
Carton Pack Quantity 1000 SH
This item is sold by the CT which contains 1000 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

Manufacturer Info
Brand Paris Business Products  (website)
Brand Contact 800-523-6454
Manufacturer Stock No. 05110
Retail UPC 090146051103
Country of Origin US
Tariff (Inbound) Code
UNSPSC Number 14111806
Meets ANSI/BIFMA? 090146051103
OTS Product ID 9147901

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Discount Office Supplies Reference - SKU: PRB05110 - UB04 Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms by Paris Business Products
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