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Specs: Detailed Description:
Manufacturer Paris Corporation
Manufacturer Part Number 05108
Brand Name Paris
Product Name Hospital Insurance Forms
Product Description UB-04 billing forms speed up Medicare, Medicaid or private insurance claims processing and meet all government regulations. Forms also meet all requirements of the Centers for Medicare and Medicaid Services (CMS). Laser-cut sheets are cut to letter-size and ready to use. They are not carbonless and are not in a continuous printing format.
Packaged Quantity 500 / Ream
Package Type Bulk
Product Type Health Insurance Form
Basis Weight 20 lb
Sheet Size 8.50" Width x 11" Length
Carbon Copy Yes
Print Color Red
Features Pre-printed
Application/Usage Medical
Certifications & Standards
  • CMS
  • HCFA-1500
Significant Savings

Please call our Customer Care Center at 800.222.0510 or contact us to learn how volume purchase plans can result in significant savings for your firm. If you choose to purchase a quantity greater than shown, discounted pricing will be applied after this order is submitted and will be reflected on your invoice.