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Office Supplies > Forms, Recordkeeping & Reference Materials > Forms

Paris Business Products Insurance Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms

Manufacturer Number: 05110
Number: PRB-05110



A Picture of product PRB-05110 Paris Business Products Insurance Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms

A Picture of product PRB-05110 Paris Business Products Insurance Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms
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Product Details

Case* Information
Product Details:
Number: PRB-05110
Description: Paris Business Products Insurance Claim Forms, 2 Part Continuous White/Canary, 9 1/2 x 11, 1000 Forms
Additional Information:

Government regulated health insurance forms.

Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.Includes 1,000 forms.
Status: Current
Manufacturer Number: 05110
Manufacturer Name: PARIS BUSINESS PRODUCTS
Case count 1000 SH
Supplier categories Office Supplies, Forms, Recordkeeping & Reference Materials, Forms
Case Count 1000 SH
Global Product Type Forms-Medicare/Medicaid
Forms Per Page 1
Sheet Size 9 1/2 x 11
Special Features UB04 Hospital Insurance Claim Forms
Form Size 9 1/2 x 11
Copy Types Continuous Feed
Paper Stock 20 lb.
Paper Color(s) Canary
Form Quantity 1000
Footnote 1 Two-part continuous feed, white/white. Carbonless