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Specification
Brand : Paris Business Products
BulletPoint : 5 1/2 x 8 1/2" Convenient health history update forms make it easy to accurately record and track patient information changes.
BulletPoint1 : Expedite Medicare, Medicaid or private insurance claims processing
BulletPoint2 : Forms meet all Federal regulations
BulletPoint3 : Formerly known as HCFA-1500 forms
Color : White
ExternallyAssignedProductIdentifier1 : 090146171047
ExternallyAssignedProductIdentifier2 : 0090146171047
ExternallyAssignedProductIdentifier3 : 00090146171047
ExternallyAssignedProductIdentifier4 : 090146051097
ItemName : Health History Update Forms (250)
ItemPackageDimensions_Height : 27.94 centimeters
ItemPackageDimensions_Length : 2.794 centimeters
ItemPackageDimensions_Width : 21.59 centimeters
ItemPackageQuantity : 1
ItemTypeKeyword : business-claim-forms
Manufacturer : Deluxe for Business
Material : Paper
ModelNumber : PRB07104
NumberOfItems : 250
PartNumber : 4051-250
ProductDescription : (250 count) Convenient health history update forms make it easy to accurately record and track patient information changes. Heavy ledger stock printed in brown ink. Back of form is blank for additional notes and patient details. Size: 5 1/2 x 8 1/2
ProductSiteLaunchDate : 2014-07-15T15:28:49.616Z
SupplierDeclaredDgHzRegulation : unknown