Paris Business PRB05109 UB04 Insurance Claim Forms
$69.99
Brand: Paris Business
Model: PRB05109
Features
- Sold as 2500/CT.
- Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations.
- Formerly known as HCFA-1500 forms.
Details
The Paris Business UB04 Insurance Claim Form is a one-part continuous form designed for processing Medicare, Medicaid, and private insurance claims. It is identified as meeting Federal regulations and is formerly known as the HCFA-1500 form. Each carton includes 2500 forms.
UPC: 021112812398