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TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)
$86.29
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TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)~#|#~s1172744_sc7
Highlights
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  • Designed for hospitals to file a medical claim with the patient's insurance carrier
  • One-part health insurance forms
  • Contains 2500 forms per carton

TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)

Item #: 519727Model #: UB04LC
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2 Questions
2500/carton
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Only $9.89 Staples Smooth Paper Clips, 1000/pack. Add to cart.
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ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)~#|#~sp174542709_sc7
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Customers bought together
TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)~#|#~s1172744_sc7
TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC) is Your Product
Price is $86.29
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    • Details

    About this product

    Complete billing tasks with these TFP UB-04 one-part hospital claim forms

    Ensure proper processing of medical procedures and patient care with these hospital claim forms. The 20-pound bond paper offers added durability and is easy to load in office printers, while the one-part format creates a crisp, high-quality master copy. Each of these TFP UB-04 hospital claim forms features preprinted sections for services, codes, and rates, along with each patient's personal information for accurate reporting.

    • Designed for hospitals to file a medical claim with the patient's insurance carrier
    • One-part health insurance forms
    • Contains 2500 forms per carton
    • Printed with OCR dropout red ink on white paper
    • Developed in conjunction with all the governing agencies
    • Comes in laser-cut sheet format

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    Specifications
    Specifications table
    Attribute nameAttribute value
    Medical Form Pack Size 2500
    Number of Parts 1
    Medical Form Type Health Insurance Claims
    Print Type Laser
    True Color
    		White/Red
    Series or Collection
    		UB-04 CMS-1450
    Pack Qty 250
    Reviews

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    Your product
    TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)
    Price is $86.29

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    Product specifications table
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    TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV)~#|#~43D41C18-579A-4B95-856C2FF6A9BDA1E7_sc7
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    ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
    Price is $32.09
    ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5)~#|#~BEEB25B0-3006-416D-A7EB845F6AB6205B_sc7
    Price is $27.59
    Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V)~#|#~sp38165292_sc7
    Price is $23.89
    ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241)~#|#~30211E02-A935-406B-A6832AFD0B88E088_sc7
    Price is $125.99
    Reviews
    3.3
    3
    4.8
    57
    4.9
    42
    4.6
    25
    4.7
    31
    4.4
    9
    4.9
    12
    4.8
    19
    No reviews yet
    4.7
    67
    No reviews yet
    Delivery Information
    Free delivery by Tue, May 06
    Free delivery by Tue, May 06
    Free delivery by Tue, Apr 29
    Delivery by Tue, May 06
    Free delivery by Tue, May 06
    Pick up in 1 hour
    Free delivery by Tue, Apr 29
    Delivery by Tue, Apr 29
    Delivery by Thu, May 08
    Delivery by Tue, Apr 29
    Free delivery by Tue, May 06
    Available in my store
    No
    No
    No
    No
    No
    Yes
    No
    No
    No
    Yes
    No
    Medical Form Pack Size
    2500
    2500
    1000
    250
    500
    100
    500
    250
    500
    100
    2500
    Medical Form Type
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Dental Claims
    True Color
    White / Red
    White / Red
    White / Red
    White / Red
    White / Red
    White
    White / Red
    White
    Data not available
    White / Red
    White
    Print Type
    Laser
    Laser
    Laser
    Laser
    Laser
    Data not available
    Laser
    Laser
    Laser
    Data not available
    Laser
    Number of Parts
    1
    1
    1
    1
    1
    Data not available
    1
    Data not available
    Data not available
    1
    1
    Pack Qty
    250
    2500
    1000
    250
    500
    100
    1
    Data not available
    Data not available
    100
    Data not available
    Series or Collection
    UB-04 CMS-1450
    CMS-1500
    Data not available
    Data not available
    Data not available
    ADA
    CMS-1500
    CMS-1500
    Data not available
    CMS-1500
    Data not available
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    Add To Cart
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    Add To Cart

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