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Product Detail information as of 11/25/2017 12:46:13 AM
Price and availability are subject to change.


DocuGard Bus. Prod. Insurance Claim Forms - 20 lb - Letter - 11" x 8.50" Sheet Size - White Sheet(s) - 1 Each 04104 PRB07104 pg.979.

Part Number:
Catalog Page:
Unit:
Usually Ships:
Stock:

04104
979 all products on page
RM
Same Day
Yes

Your Price:

 $14.30

Quantity: 

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General Information:

Claim forms speed up Medicare, Medicaid or private insurance claims processing and meet all government regulations. Forms also meet all requirements of the Centers for Medicare and Medicaid Services (CMS). Laser-cut sheets are cut to letter size and ready to use.

Manufacturer Paris Business Products
Manufacturer Part Number 07104
Manufacturer Website Address http://www.pariscorp.com
Brand Name DocuGard
Product Name Insurance Claim Forms
Packaged Quantity 1 Each
Product Type Claim Form
Product UPC 090146171047
Product Information:
Basis Weight 20 lb
Sheet Standard Letter
Sheet Size 8.50" Width x 11" Length
Sheet Color White
Miscellaneous:
Recycled No
Recycled Content 0%
Post-consumer-waste% 0%
Assembly Required No
Country of Origin United States


This product was added to our catalog on Thursday January 30, 2014

All products are brand new and factory sealed unless otherwise stated.
 *** DISCLAIMER - INFORMATION SUPPLIED BY MANUFACTURER. IMAGE MAY NOT EXACTLY MATCH PRODUCT. UNITED OFFICE PRODUCTS NOT RESPONSIBLE FOR DATA ***

Description:
  Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 250; Sheet Size: 8 1/2 x 11.
Specifications:
Global Product Type: Forms-Insurance
Form Size: 8 1/2 x 11
Forms Per Page: 1
Form Quantity: 250
Sheet Size: 8 1/2 x 11
Paper Stock: 20 lb.
Paper Color(s): White
Special Features: Centers for Medicare and Medicaid Services (CMS) Forms

Ground (EST. Arrival Date between Tuesday, November 28 - Monday, December 4) = $9.90
Two Day Air (EST. Arrival Date on Wednesday, November 29) = $27.00
Standard One Day (EST. Arrival Date on Tuesday, November 28 after 3PM) = $41.00
Priority (EST. arrival Date on Tuesday, November 28 in the AM) = $70.00
U.S Mail Priority (AA,AE,AP only) = $34.00

Shipping dates are best estimates based on product location and may vary with holidays.

* Some destinations are subject to Applicable State/Duty Taxes

United Office Products realizes that every product may have different return guidelines. Please see the policy below regarding this item.

This Product Has Limited Exchange Privileges.

Limited returns within 30 days of purchase permitted on this product.

For support on this product, please contact Paris Business Products.  http://www.pariscorp.com/

 

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