DocuGard 07104 Insurance Claim Forms
   

Processing...

DocuGard 07104 Insurance Claim Forms

20 lb - Letter - 8 1/2" x 11" Sheet Size - White Sheet(s) - 1 Each
Item #: PRB07104
0 Star Rating (0 reviews)


Retail/List price: $19.85
$5.88 for Each

Qty
UPS Shipping
How many do we have?
Sorry, this item is out of stock.
Inventory last updated: 01/16/2018 8:45am EST

Need a large quantity?

If ordering $1000 or more, we may be able to offer further discounts.

   

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

MAIN FEATURES

Product TypeClaim Form
Brand NameDocuGard
ManufacturerParis Corporation
Product NameInsurance Claim Forms
Manufacturer Part Number07104
Manufacturer Website Addresshttp://www.pariscorp.com
Packaged Quantity1 Each

OTHER FEATURES

Sheet Size8 1/2" Width x 11" Length
Sheet StandardLetter
Sheet ColorWhite
Basis Weight20 lb
Country of OriginUnited States
RecycledNo
Post-consumer-waste%0%
Assembly RequiredNo

ADDITIONAL CHARACTERISTICS

UPC code090146171047
Alternate code/substitutionPRB07104
Moore prefix and stock number
Package Weight
Package Height
Package Length
Package Width
Product Classification CodeEFEA
Country of OriginUS
Ready to AssembleN
RecycledN
UPS-ableY
Recommended substitutions
Old item number
Minority/Women-Owned/Challenged Vendor
Old item number
Non-returnableN
Special order itemN
Relevant TermsDocugard,Forms,Claims,Medicare Medicaid Insurance Claim Forms
 forms & record keeping paris 07104 1030287164 14111800 090146171047 prb07104 prb 07104 0090146171047 mantenimiento de documentaci docugard insurance claim forms 20 lb letter 8 1/2" 11" sheet size white sheets 1 each Insurance Claim Forms Claim Form No
Overall: based on 0 reviews Leave your own review!