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.

Specifications

Manufacturer Paris Business Products
Mfg Part# 05110
SKU 230771781
UPC 090146051103
UPC 14 00090146051103
Features
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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AllianceSupply $153.53 + free shipping
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BisonOffice $137.34 + $20.15 shipping
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ComputerSupplies $167.76 + $2.75 shipping
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"UB04 Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms"
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PLEXSUPPLY $213.40 + free shipping
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$148.99 + free shipping
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