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Paris Business 05110 UB04 Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms 1 of 2
Paris Business 05110 UB04 Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms 2 of 2
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$213.46
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Description
 

Product Details:

Mfg Part#: 05110
Sku: 230771781
UPC: 090146051103
UPC 14: 00090146051103
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Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.
Features
Video Features Copy_Types - Continuous Feed
Video Features Form_Quantity - 1,000
Video Features Form_Size - 9 1/2 x 11
Video Features Forms_Per_Page - 1
Video Features Sheet_Size - 9 1/2 x 11
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