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Ub04 Insurance Claim Form, Two-Part Continuous Feed, 9.5 X 11, 1/page,1,000 Forms
List Price: $221.33
Our Price:
$
184.44
Savings: $36.89
Product Code:
PRB05110
Qty:
Description
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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Sales Order Book, Two-Part Carbonless, 5.56 X 7.94, 1/page, 50 Forms
$13.02
