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UB04 Insurance Claim Form, Two-Part Continuous Feed, 9.5 x 11, 1/Page,1,000 Forms

Item #: PRB05110-ES 
Paris Corporation Insurance Claim Forms
  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.
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PRB05110-ES
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.

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