TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)
$93.89
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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
Final price is $93.89
2500/carton
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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
Frequently bought together
Page 1 of 1
Price is $38.59
Unit of measure 4000/Box Price per unit $0.01/Label
Free delivery by Tue, Apr 07
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Price is $19.87
Unit of measure Ream
Delivery by Wed, Apr 08
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Price is $21.99
Unit of measure 80/Pack Price per unit $0.28/Wipe
Delivery by Tue, Apr 07
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Price is $27.99
Unit of measure Dozen Price per unit $2.33/Pen
Delivery by Tue, Apr 07
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Price is $19.59
Unit of measure 500/Ream
Delivery by Tue, Apr 07
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Price is $7.99
Unit of measure 5/Pack Price per unit $1.60/Pen
Delivery by Tue, Apr 07
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Price is $16.39
Unit of measure 500/Ream
Delivery by Tue, Apr 07
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2026 Blue Sky 22" x 17" Monthly Desk Pad Calendar, Sugarina (158111) is In-store only
Price is $15.39
See alternate delivery items
30-min pickup
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Price is $85.89
Unit of measure 1000/Carton
Free delivery by Tue, Apr 07
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Price is $7.49
Unit of measure 4/Pack Price per unit $6.69/Ounces
Delivery by Tue, Apr 07
30-min pickup
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Price is $16.19
Unit of measure 500/Ream
Delivery by Tue, Apr 07
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Price is $17.49
Unit of measure 500/Ream
Delivery by Tue, Apr 07
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Price is $20.19
Unit of measure 500/Ream
Delivery by Tue, Apr 07
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Price is $21.69
Unit of measure 500/Ream
Delivery by Tue, Apr 07
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Price is $105.59
Unit of measure 48/Carton Price per unit $1.76/100 Sheets
Free delivery by Tue, Apr 07
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Price is $21.09
Unit of measure 25/Box Price per unit $0.84/Folder
Delivery by Tue, Apr 07
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Price is $44.99, Regular price was $69.99, You save 35%
Free delivery by Tue, Apr 07
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Price is $89.29
Unit of measure 7500/Box Price per unit $0.01/Label
Free delivery by Tue, Apr 07
30-min pickup
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Price is $22.19
Unit of measure 100/Box
Delivery by Tue, Apr 07
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Price is $14.29
Delivery by Tue, Apr 07
30-min pickup
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Compare similar items
| Attributes | TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC) | ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) |
|---|---|---|---|---|---|
Your product TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC) Price is $93.89 |  Price is $30.19 |  Price is $85.89 |  Price is $48.09 |  Price is $27.69 | |
| Reviews | |||||
| Delivery Information | Free delivery by Tue, Apr 14 | Delivery by Thu, Apr 16 | Free delivery by Tue, Apr 07 | Free delivery by Tue, Apr 14 | Delivery by Tue, Apr 14 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 2500 | 500 | 1000 | 500 | 250 |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims |
| True Color | White / Red | Data not available | White / Red | White / Red | White / Red |
| Print Type | Laser | Laser | Laser | Laser | Laser |
| Number of Parts | 1 | Data not available | 1 | 1 | 1 |
| Pack Qty | 250 | Data not available | 1000 | 500 | 250 |
| Series or Collection | UB-04 CMS-1450 | Data not available | Data not available | Data not available | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
