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Paris Business Products Insurance Claim Forms

Paris Business Products Insurance Claim Forms
  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.

Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.


Paris Business Products

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Prices and Availability Subject to Change

Product Number Details Price Quantity
PRB04104
Global Product Type: Forms-Medicare/Medicaid Form Size: 8 1/2 x 11
Forms Per Page: 1 Form Quantity: 250
Sheet Size: 8 1/2 x 11 Paper Stock: 20 lb.
Paper Color(s): White Form Special Features: CMS Forms
quantity: 250 per pack Special Features: Centers for Medicare and Medicaid Services (CMS) Forms
N/A Unavailable
PRB05110
Global Product Type: Forms-Medicare/Medicaid Form Size: 9 1/2 x 11
Forms Per Page: 1 Form Quantity: 1000
Sheet Size: 9 1/2 x 11 Copy Types: Continuous Feed
Paper Stock: 20 lb. Paper Color(s): Canary
Form Special Features: UB04 Claim Forms quantity: 1,000 per carton
Footnote 1: Two-part continuous feed, white/white. Carbonless Special Features: UB04 Hospital Insurance Claim Forms
N/A Unavailable
PRB05109
Global Product Type: Forms-Medicare/Medicaid Form Size: 9 1/2 x 11
Forms Per Page: 1 Form Quantity: 2500
Sheet Size: 9 1/2 x 11 Copy Types: Continuous Feed
Paper Stock: 20 lb. Paper Color(s): White
Form Special Features: UB04 Claim Forms quantity: 2,500 per carton
Footnote 1: One-part continuous feed, white Special Features: UB04 Hospital Insurance Claim Forms
N/A Unavailable
PRB05108
Global Product Type: Forms-Medicare/Medicaid Form Size: 8 1/2 x 11
Forms Per Page: 1 Form Quantity: 2500
Sheet Size: 8 1/2 x 11 Paper Stock: 20 lb.
Paper Color(s): White Form Special Features: UB04 Claim Forms
quantity: 2,500 per carton Special Features: UB04 Hospital Insurance Claim Forms
N/A Unavailable
PRB05106
Global Product Type: Forms-Medicare/Medicaid Form Size: 9 1/2 x 11
Forms Per Page: 1 Form Quantity: 1000
Sheet Size: 9 1/2 x 11 Copy Types: Carbonless Duplicate
Paper Stock: 20 lb. Paper Color(s): Canary
Copy Paper Color(s): Canary Form Special Features: CMS Forms
quantity: 1,000 per carton Footnote 1: Two-part continuous feed, white/canary. Carbonless
Special Features: Centers for Medicare and Medicaid Services (CMS) Forms
N/A Unavailable
PRB05104
Global Product Type: Forms-Medicare/Medicaid Form Size: 9 1/2 x 11
Forms Per Page: 1 Form Quantity: 1000
Sheet Size: 9 1/2 x 11 Copy Types: Carbonless Duplicate
Paper Stock: 20 lb. Paper Color(s): White
Form Special Features: CMS Forms quantity: 1,000 per carton
Footnote 1: Two-part continuous feed, white/white. Carbonless Special Features: Centers for Medicare and Medicaid Services (CMS) Forms
N/A Unavailable
PRB05102
Global Product Type: Forms-Medicare/Medicaid Form Size: 9 1/2 x 11
Forms Per Page: 1 Form Quantity: 2500
Sheet Size: 9 1/2 x 11 Paper Stock: 20 lb.
Paper Color(s): White Form Special Features: CMS Forms
quantity: 2,500 per carton Footnote 1: One-part continuous feed, white
Special Features: Centers for Medicare and Medicaid Services (CMS) Forms
N/A Unavailable
PRB04106
Global Product Type: Forms-Medicare/Medicaid Form Size: 8 1/2 x 11
Forms Per Page: 1 Form Quantity: 500
Sheet Size: 8 1/2 x 11 Paper Stock: 20 lb.
Paper Color(s): White Form Special Features: CMS Forms
quantity: 1 reams Special Features: Centers for Medicare and Medicaid Services (CMS) Forms
N/A Unavailable

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