Picture of Ub04 Insurance Claim Form 2-Part White/Canary 9 1/2 X 11 1000 Forms
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Ub04 Insurance Claim Form 2-Part White/Canary 9 1/2 X 11 1000 Forms

Manufacturer: Paris Corporation
  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.
  • Required by Centers for Medicaid and Medicare Services (CMS) and by most private healthcare organizations, these forms speed up claims processing and meet all federal guidelines.
    • Product SKU: PRB05110
    Availability:
    Price:
    Items Per Unit : 1.000000
    Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. UB04 Hospital Insurance Claim Forms. Form Size: 9.5 x 11; Forms Per Page: 1; Form Quantity: 1,000; Sheet Size: 9.5 x 11.
    Global Product Type : Forms-Insurance
    Form Size : 9.5 x 11
    Forms Per Page : 1
    Form Quantity : 1000
    Sheet Size : 9.5 x 11
    Copy Types : Two-Part Continuous Feed
    Paper Stock : 20 lb
    Paper Color(s) : White
    Print and Ruling Color(s) : Red
    Copy Paper Color(s) : Canary
    Footnote 1 : Two-part continuous feed, white/white. Carbonless
    Special Features : UB04 Hospital Insurance Claim Forms
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    Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. UB04 Hospital Insurance Claim Forms. Form Size: 9.5 x 11; Forms Per Page: 1; Form Quantity: 1,000; Sheet Size: 9.5 x 11.