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a DocuGard 07104 Insurance Claim Forms

DocuGard 07104 Insurance Claim Forms

20 lb - Letter - 11" x 8 1/2" Sheet Size - White Sheet(s) - 1 Each

Item # PRB07104

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Retail/List price: $19.85
Your price:$6.89 for Each
You save 65%!
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Inventory last updated: 10/23/2017 5:45am EDT

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  • Use for Medicare, Medicaid or private insurance claims
  • Ready-to-use design speeds up insurance claims processing
  • Laser-cut sheets are cut to letter size for convenient use
  • Meets all requirements of Centers for Medicare and Medicaid Services
The Manufacturer's Description 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.


Product TypeClaim Form
Brand NameDocuGard
ManufacturerParis Business Products
Product NameInsurance Claim Forms
Manufacturer Part Number07104
Manufacturer Website Address
Packaged Quantity1 Each


Sheet Size8 1/2" Width x 11" Length
Sheet StandardLetter
Sheet ColorWhite
Basis Weight20 lb
Country of OriginUnited States
Assembly RequiredNo


UPC code090146171047
Alternate code/substitutionPRB07104
Moore prefix and stock number
Package Weight2.5
Package Height1
Package Length11
Package Width8.5
Product Classification CodeEFEA
Country of OriginUS
Ready to AssembleN
Recommended substitutions
Old item number
Minority/Women-Owned/Challenged Vendor
Old item number
Special order itemN
Relevant TermsDocugard,Forms,Claims,Medicare Medicaid Insurance Claim Forms
 forms & record keeping paris 07104 1030287164 prb07104 prb 07104 14111800 0090146171047 090146171047 docugard insurance claim forms 20 lb letter 11" 8 1/2" sheet size white sheets 1 each Insurance Claim Forms Claim Form No
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