FORM,CMS,2-PART,9.5X11,WH
UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms
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 1/2 x 11; Forms Per Page: 1; Form Quantity: 1000; Sheet Size: 9 1/2 x 11.
Notes
- Expedite Medicare, Medicaid or private insurance claims processing.
- Forms meet all Federal regulations.
- Formerly known as HCFA-1500 forms.
- Required by Centers for Medicaid and Medicare Services (CMS) and by most private healthcare organizations, these forms speed up claims processing and meet all federal guidelines.
- 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.
Specifications
- Global Product Type: Forms-Insurance
- 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): White
- Paper Color(s): Canary
- Footnote 1: Two-part continuous feed, white/white. Carbonless
- Special Features: UB04 Hospital Insurance Claim Forms
- Package_Includes: Includes 1,000 forms.
- Product_Description: FORM,CMS,2-PART,9.5X11,WH
- Long_Item_Description: UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms
- Item_Consolidated_Copy: 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 1/2 x 11; Forms Per Page: 1; Form Quantity: 1000; Sheet Size: 9 1/2 x 11.
Additional informations
| ItemBrandID: | 365 | ||
| Vendor: | VendorNumber: 4150 VendorShortName: PARIS | ||
| Manufacturers | |||
PARIS CORPORATION www.pariscorp.com  |
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| Source ID: | PRB05110 | ||
| ItemKeywords: | Paris Business Products; PARIS BUSINESS PRODUCTS; Forms; Forms-Claim;Medicare/Medicaid; Paperwork; Records; Documents; Pre-Printed; Record-Keeping | ||
| Product_SKU: | 05110 | ||
| Product_Number: | 9147901 | ||
| ItemStatus: | Y | ||
| Stock_Number: | 05110 | ||
| Category #1: | Office Supplies (#3) | ||
| Category #2: | Forms, Recordkeeping & Reference Materials (#46) | ||
| Category #3: | Forms (#376) | ||
| Product Class Category: | FORMS,GENERAL (#257) | ||
| ItemWeight: | 31.00 | ||
| Country: | CountryOriginCode: US CountryCode: USA | ||
| ListDate: | StartDate: 2015-01-01 00:00:00 EndDate: 2050-12-31 00:00:00 | ||
| Status Code: | SC1: N SC2: Z SC3: Y | ||
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