Paris Business 05110 UB04 Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 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.


Manufacturer Paris Business Products
Mfg Part# 05110
SKU 230771781
UPC 090146051103
UPC 14 00090146051103
Copy_Types - Continuous Feed
Form_Quantity - 1,000
Form_Size - 9 1/2 x 11
Forms_Per_Page - 1
Sheet_Size - 9 1/2 x 11

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BisonOffice $149.04 + free shipping
Condition: Brand New
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Includes 1,000 forms.
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AllianceSupply $149.05 + free shipping
Condition: Brand New
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1Each, Brand New, Super Fast Delivery, Satisfaction Guaranteed
Usually ships in 1 to 2 business days
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$149.04 + free shipping
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Sold By:  BisonOffice
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