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Paris Corporation UB04 Insurance Claim Form, 8 1/2 x 11, 2500 Forms

Government regulated health insurance forms.
Product Number: PRB05108
  • Conform to government regulations.
  • Used for Medicaid, Medicare and federal insurance regulations.
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Product Description

Paris Corporation UB04 Insurance Claim Form, 8 1/2 x 11, 2500 Forms - Expedite Medicare, Medicaid or private insurance benefits. Conforms with federal regulations.

  • Conform to government regulations.
  • Used for Medicaid, Medicare and federal insurance regulations.
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Product Specifications

  • Assembly Required
    No
  • Brand Name
    Paris Corporation
  • Country of Origin
    United States
  • Form Quantity
    2500
  • Form Size
    8 1/2 x 11 8 1/2 x 11
  • Forms Per Page
    1
  • Global Product Type
    Forms-Insurance
  • Paper Color(s)
    White
  • Paper Stock
    20 lb.
  • Recycled
    No
  • Sheet Size
    8 1/2 x 11
  • Special Features
    UB04 Hospital Insurance Claim Forms
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