TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)
$91.59
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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
$91.59
2500/carton
Free Returns
Online. In store. Always free.
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Price is $29.39
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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 4
Price is $85.89
Unit of measure 1000/Carton
Free Next-Day eligible by tomorrow
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Price is $12.29
Delivery by Mon, Mar 30
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Price is $38.59
Unit of measure 4000/Box Price per unit $0.01/Label
Free Next-Day eligible by tomorrow
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Price is $18.92
Unit of measure Ream
Next-Day Delivery by tomorrow
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Price is $27.99
Unit of measure Dozen Price per unit $2.33/Pen
Next-Day Delivery by tomorrow
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Compare similar items
| Attributes | TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1) | 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", Pack of 250 (CMS12LC250) |
|---|---|---|---|---|---|
Your product TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC) Price is $91.59 |  Price is $85.89 |  Price is $29.39 |  Price is $48.09 |  Price is $26.99 | |
| Reviews | |||||
| Delivery Information | Free Next-Day eligible by tomorrow | Free Next-Day eligible by tomorrow | Delivery by Mon, Mar 30 | Free delivery by Wed, Mar 25 | Delivery by Wed, Mar 25 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 1000 | 1000 | 500 | 500 | 250 |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims |
| True Color | White / Red | White / Red | Data not available | White / Red | White / Red |
| Print Type | Laser | Laser | Laser | Laser | Laser |
| Number of Parts | 1 | 1 | Data not available | 1 | 1 |
| Pack Qty | 1000 | 1000 | Data not available | 500 | 250 |
| Series or Collection | Data not available | 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
Page 1 of 3
Price is $81.69
Unit of measure 500/Box
Free delivery by Tue, Mar 24
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Price is $49.59
Unit of measure 250/Box
Free delivery by Tue, Mar 24
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Price is $18.19
Unit of measure 25/Pack
Delivery by Tue, Mar 24
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Price is $12.69
Unit of measure 50/Pack
Delivery by Tue, Mar 24
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Price is $114.99
Unit of measure 250/Pack
Free delivery by Tue, Mar 24
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