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
$93.89
2500/carton
Free Returns
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Price is $30.19
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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
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Price is $35.39
Free delivery by Tue, Sep 01
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Lenovo IdeaPad Slim 3 15.6" Laptop, Intel Core N100, 4GB RAM, 128GB UFS SSD, Windows 11 Home in S Mode (82XB00HVUS) is New at Staples
Price is $319.99, Regular price was $519.99, You save 38%
Free delivery by Fri, Sep 04
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Price is $39.99
Free delivery by Tue, Sep 01
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Price is $20.49
Unit of measure 80/Pack Price per unit $0.26/Wipe
Delivery by Tue, Sep 01
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Price is $39.99
Free delivery by Tue, Sep 01
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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) | Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074039) | 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 $85.89 |  Price is $30.19 |  Price is $61.29 |  Price is $27.69 | |
| Reviews | |||||
| Delivery Information | Free delivery by Tue, Sep 08 | Free delivery by Tue, Sep 01 | Delivery by Fri, Sep 11 | Free delivery by Thu, Sep 10 | Delivery by Tue, Sep 08 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 2500 | 1000 | 500 | 125 | 250 |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Privacy Sign-In Sheets | Health Insurance Claims |
| True Color | White / Red | White / Red | Data not available | Blue | White / Red |
| Print Type | Laser | Laser | Laser | Digital | Laser |
| Number of Parts | 1 | 1 | Data not available | 3 | 1 |
| Pack Qty | 250 | 1000 | Data not available | 125 | 250 |
| Series or Collection | UB-04 CMS-1450 | Data not available | Data not available | Confidential Sign-In Forms | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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