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Paris Business 05109 UB04 Insurance Claim Form, 1-Part Continuous White, 9 1/2 x 11, 2500 Forms

R 3,033

or 4 x payments of R758.25 with Payflex

Availability: Currently in Stock

Delivery: 10-20 working days

Paris Business 05109 UB04 Insurance Claim Form, 1-Part Continuous White, 9 1/2 x 11, 2500 Forms
- Sold as 2500/CT.
- Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations.
- Formerly known as HCFA-1500 forms.
Country USA
Brand Paris Business
Manufacturer PARIS BUSINESS PRODUCTS
Binding Office Product
ItemPartNumber PRB05109
Model PRB05109
UPCs 021112812398
EANs 0090146051097
ReleaseDate 0000-00-00