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 22
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Price is $20.49
Unit of measure 80/Pack Price per unit $0.26/Wipe
Delivery by Tue, Sep 22
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Price is $11.99
Unit of measure 6/Pack Price per unit $2.00/Pad
Delivery by Tue, Sep 22
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Price is $45.19
Unit of measure 100/Pack
Free delivery by Fri, Sep 25
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Price is $85.89
Unit of measure 1000/Carton
Free delivery by Tue, Sep 22
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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 250 (CMS12LC250) | 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 $93.89 |  Price is $85.89 |  Price is $30.19 |  Price is $27.69 |  Price is $48.09 | |
| Reviews | |||||
| Delivery Information | Free delivery by Mon, Sep 28 | Free delivery by Tue, Sep 22 | Delivery by Thu, Oct 01 | Delivery by Mon, Sep 28 | Free delivery by Mon, Sep 28 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 2500 | 1000 | 500 | 250 | 500 |
| 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 | 250 | 1000 | Data not available | 250 | 500 |
| 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 |
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Price is $17.09
Delivery by Wed, Sep 30
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Price is $81.69
Unit of measure 500/Box
Free delivery by Fri, Sep 25
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Price is $20.19
Delivery by Wed, Sep 30
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Price is $15.99
Unit of measure 10/Pack
Delivery by Fri, Sep 25
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Price is $21.69
Delivery by Wed, Sep 30
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