UB04 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms

Description

Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. Form Size: 9 1/2 x 11; Forms Per Page: 1; Form Quantity: 1000; Sheet Size: 9 1/2 x 11. 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; Canary Footnote 1 Two-part continuous feed, white/white. Carbonless Special Features UB04 Hospital Insurance Claim Forms Unit of Measure: CARTON Item Weight With Packaging 31.0 lbs. Item Depth With Packaging 11.5" Item Height With Packaging 9.0" Item Width With Packaging 10.0" Carton Weight With Packaging 10.0 lbs. Carton Package Width 10.0" Carton Package Depth 11.5" Carton Package Height 9.0" Carton Package Quantity 1000 Packaging Unit Contained In The Carton SH Returnable? YES UNSPSC (United Nations Standard Products and Services Code) 14111806 UPC 090146051103