Sub total:
$138.00
total:
$138.00
UB04 Insurance Claim Form, 8 1/2 x 11, 2500 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.
| $71.71USD | Retail $165.05 |
Manufacturer:
PARIS CORPORATION
Item:
05108
UPC Code:
090146051080
Condition
New
Extended Warrenty
| 1 Year Extended Warrenty | $14.34 |
$71.71USD
$165.05
$165.05
Availability
In Stock
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Product description
Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.
Specifications
Form Quantity
2500
Form Size
8 1/2 x 11
Forms Per Page
1
Global Product Type
Forms-Insurance
Package_Includes
Includes 2500 forms.
Paper Color(s)
White
Paper Stock
20 lb.
Sheet Size
8 1/2 x 11
Special Features
UB04 Hospital Insurance Claim Forms
