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Office Forms, Recordkeeping & Reference Materials Forms & Recordkeeping Systems Medical & Insurance Forms Paris Business Products PRB05110

Paris Business Products Hospital Insurance Forms, 2 Part Continous White/Canary, 9 1/2 x 11, 1000 Forms

Item # PRB 05110 by Paris Business Products (Mfg. Part # PRB05110, UPC # 90146051103)


Expedite Medicare, Medicaid or private insurance benefits. Conforms with federal regulations.


  • Form Size (W x H) : 9 1/2 in x 11 in

  • Forms Per Page : 1

  • Form Quantity : 1000

  • Sheet Size : 9 1/2 x 11

  • Paper Stock : 20 lb.

  • Paper Color : Canary, White

  • Form Special Features : UB04 Claim Forms

PRB05110 - Paris Business Products Insurance Forms
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Retail Price: $200.77
BettyMills Discount Price: $148.72 Per Carton
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