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Office Forms, Recordkeeping & Reference Materials Forms & Recordkeeping Systems Medical & Insurance Forms Paris Business Products PRB05109

Paris Business Products Hospital Insurance Forms, Continous Feed, 9 1/2 x 11, 2500 Forms

Item # PRB 05109 by Paris Business Products (Mfg. Part # PRB05109, UPC # 090146051097)


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 : 2500

  • Sheet Size : 9 1/2 x 11

  • Paper Stock : 20 lb.

  • Paper Color : White

  • Form Special Features : UB04 Claim Forms

PRB05109 - Paris Business Products Insurance Forms
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Retail Price: $185.27
BettyMills Discount Price: $137.24 Per Carton
Quantity   
Order 3+ and Save an Extra $2.74 Per Carton
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Prescription Required !

Unless you are a licensed care provider or similar
qualified entity, a prescription is required
to purchase this item.

Thanks! -- Betty Mills




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