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TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)
$91.59
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TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)~#|#~s1172744_sc7
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
Show all reviews
2 Questions
$91.59
2500/carton
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ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5)~#|#~BEEB25B0-3006-416D-A7EB845F6AB6205B_sc7
No reviews yet
Price is $29.39
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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 $91.59
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Price for all 4
$203.16

    • 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

    Compare similar items

    Product specifications table
    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 Claims, 2500/Pack (CMS12LC) 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)
    Your product
    TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)
    Price is $91.59
    ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5)~#|#~BEEB25B0-3006-416D-A7EB845F6AB6205B_sc7
    Price is $29.39
    ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)~#|#~sp174542709_sc7
    Price is $91.89
    ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
    Price is $85.89
    ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
    Price is $48.09
    Reviews
    3.8
    5
    No reviews yet
    4.84
    58
    4.8
    82
    4.74
    34
    Delivery Information
    Free delivery by Fri, Feb 13
    Delivery by Wed, Feb 18
    Free delivery by Fri, Feb 13
    Free Next-Day eligible by Mon, Feb 09
    Free delivery by Fri, Feb 13
    Available in my store
    No
    No
    No
    No
    No
    Medical Form Pack Size
    2500
    500
    2500
    1000
    500
    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
    2500
    1000
    500
    Series or Collection
    UB-04 CMS-1450
    Data not available
    CMS-1500
    Data not available
    Data not available
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
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