TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)
$89.29
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Highlights
View all details
- 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 $89.29
2500/carton
Free Returns
Online. In store. Always free.
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No reviews yet
Price is $28.59
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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
Price is $16.99, Regular price was $20.59, You save 17%
Unit of measure 100/Box Price per unit $0.17/File Folder
Next-Day Delivery by Mon, Jun 30
1-hr pickup
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Over 30
Price is $10.59, Regular price was $12.69, You save 16%
Unit of measure Dozen Price per unit $0.88/Marker
Next-Day Delivery by Mon, Jun 30
1-hr pickup
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Over 30
Price is $15.69
Unit of measure Dozen Price per unit $0.01/Post-it® Note
Next-Day Delivery by Mon, Jun 30
1-hr pickup
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Over 30
Price is $6.99, Regular price was $8.69, You save 19%
Unit of measure 60/Pack Price per unit $0.12/Pen
Next-Day Delivery by Mon, Jun 30
1-hr pickup
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Over 30
Price is $15.99, Regular price was $19.49, You save 17%
Unit of measure 10/Pack Price per unit $1.60/Correction Tape
Next-Day Delivery by Mon, Jun 30
1-hr pickup
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Over 30
Price is $16.99, Regular price was $19.59, You save 13%
Unit of measure Dozen Price per unit $1.42/Pad
Next-Day Delivery by Mon, Jun 30
1-hr pickup
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Price is $9.99
Unit of measure 1000/Pack Price per unit $0.01/Paper Clip
Next-Day Delivery by Mon, Jun 30
1-hr pickup
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Over 30
Price is $27.99, Regular price was $31.69, You save 11%
Unit of measure 250/Box Price per unit $0.11/File Folder
Next-Day Delivery by Mon, Jun 30
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Over 30
Price is $0.50, Regular price was $3.09, You save 83%
Unit of measure 8/Pack Price per unit $0.06/Pencil
Next-Day Delivery by Mon, Jun 30
1-hr pickup
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Price is $6.99, Regular price was $8.19, You save 14%
Unit of measure 4/Pack Price per unit $1.75/Correction Tape
Next-Day Delivery by Mon, Jun 30
1-hr pickup
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Over 30
Price is $1.00, Regular price was $3.79, You save 73%
Unit of measure 3/Pack Price per unit $0.33/Eraser
Next-Day Delivery by Mon, Jun 30
1-hr pickup
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Price is $1.99, Regular price was $4.29, You save 53%
Unit of measure 5/Pack Price per unit $0.40/Highlighter
Next-Day Delivery by Mon, Jun 30
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Over 30
Price is $9.99, Regular price was $11.99, You save 16%
Unit of measure 12/Pack Price per unit $0.83/Pad
Next-Day Delivery by Mon, Jun 30
1-hr pickup
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Price is $13.99
Unit of measure 144/Pack Price per unit $0.10/Binder Clip
Next-Day Delivery by Mon, Jun 30
1-hr pickup
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Price is $0.50, Regular price was $2.19, You save 77%
Unit of measure Dozen Price per unit $0.04/Eraser
Next-Day Delivery by Mon, Jun 30
1-hr pickup
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Price is $8.69
Unit of measure 12/Pack Price per unit $0.72/Binder Clip
Next-Day Delivery by Mon, Jun 30
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Price is $18.29
Unit of measure 12/Pack Price per unit $1.52/Roll
Next-Day Delivery by Mon, Jun 30
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Price is $13.99, Regular price was $20.49, You save 31%
Unit of measure Dozen Price per unit $1.17/Pen
Next-Day Delivery by Mon, Jun 30
1-hr pickup
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Price is $7.59
Unit of measure 24/Pack Price per unit $0.32/Binder Clip
Next-Day Delivery by Mon, Jun 30
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Over 30
Price is $16.99, Regular price was $19.59, You save 13%
Unit of measure Dozen Price per unit $1.42/Pad
Next-Day Delivery by Mon, Jun 30
1-hr 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", Pack of 500 (CMS12LC500) | 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 250 (CMS12LC250) |
|---|---|---|---|---|---|
Your product TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC) Price is $89.29 |  Price is $28.59 |  Price is $46.89 |  Price is $83.79 |  Price is $26.29 | |
| Reviews | |||||
| Delivery Information | Free delivery by Tue, Jul 08 | Delivery by Thu, Jul 10 | Free delivery by Tue, Jul 08 | Free Next-Day eligible by Mon, Jun 30 | Delivery by Tue, Jul 08 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 2500 | 500 | 500 | 1000 | 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 | 500 | 1000 | 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 |
Featured Products
Price is $9.69
Unit of measure 500/Ream
Next-Day Delivery by Mon, Jun 30
1-hr pickup
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Over 30
Price is $58.59
Unit of measure 50/Pack
Free delivery by Thu, Jul 03
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Over 30
Price is $21.95
Delivery by Wed, Jul 09
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Price is $15.59
Unit of measure 10/Pack
Delivery by Thu, Jul 03
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Price is $36.19
Unit of measure 50/Box
Free delivery by Wed, Jul 09
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Price is $33.29
Delivery by Wed, Jul 09
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Price is $26.49
Unit of measure 50/Pack
Delivery by Thu, Jul 03
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Price is $63.59
Unit of measure 25/Pack
Free delivery by Thu, Jul 03
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Price is $45.49
Unit of measure 50/Pack
Free delivery by Thu, Jul 03
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Price is $26.49
Unit of measure 50/Pack
Delivery by Thu, Jul 03
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Over 30
Price is $20.19
Delivery by Wed, Jul 09
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Over 30
Price is $21.69
Delivery by Wed, Jul 09
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Over 30
Price is $37.89
Unit of measure 50/Pack
Free delivery by Thu, Jul 03
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Over 30
Price is $38.89
Unit of measure 50/Pack
Free delivery by Thu, Jul 03
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Over 30
Price is $58.79
Unit of measure 50/Pack
Free delivery by Thu, Jul 03
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