Office Products > Forms, Recordkeeping & Money Handling > Human Resources Forms > Insurance Claim Forms
Paris Business 05109 UB04 Insurance Claim Form, 1-Part Continuous White, 9 1/2 x 11, 2500 Forms
Product ID: B00A3YNVN6
Condition: New
$ 1,104
includes Duties & VAT
Delivery: 10-20 working days
Ships from USA warehouse.
Secure Transaction
VISA
Mastercard
ozow
Product Description
Paris Business 05109 UB04 Insurance Claim Form, 1-Part Continuous White, 9 1/2 x 11, 2500 Forms
Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.
Technical Specifications
Country
USA
Brand
Paris Business
Manufacturer
PARIS BUSINESS PRODUCTS
PartNumber
PRB05109
Weight
30







