Paris Business Products Ub04 Claim Forms, 1 Part Continuous White, 9 1/2 X 11, 2500 Forms

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Product Overview

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

Specifications

Manufacturer Paris Business Products
Mfg Part# 05109
SKU 230771780
UPC 090146051097
UPC 14 00090146051097
Features
Copy_Types - Continuous Feed
Form_Quantity - 2,500
Form_Size - 9 1/2 x 11
Forms_Per_Page - 1
Sheet_Size - 9 1/2 x 11
loading
$111.48 + $19.50 shipping
$160.46 You save $48.98 (30%)
Earn 112 ($1.12) Rakuten Super Points™
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Condition: Brand New
In Stock. Usually Ships in 1 to 2 business days
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