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
Final price is $91.59
2500/carton
Free Returns
Online. In store. Always free.
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Over 30
No reviews yet
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
Price is $91.89
Unit of measure 2500/Pack
Free delivery by Wed, Nov 05
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Over 30
Price is $21.99
Unit of measure 80/Pack Price per unit $0.28/Wipe
Delivery by Thu, Oct 30
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Over 30
Price is $88.39
Unit of measure 500/Box
Free delivery by Thu, Oct 30
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Over 30
Price is $45.19
Unit of measure 100/Pack
Free delivery by Tue, Nov 04
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Over 30
Price is $19.99, Regular price was $22.49, You save 11%
Unit of measure 100/Box Price per unit $0.20/Envelope
Delivery by Thu, Oct 30
30-min pickup
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Over 30
Price is $20.99
Unit of measure 500/Box Price per unit $0.04/Envelope
Delivery by Thu, Oct 30
30-min pickup
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Over 30
Price is $30.49
Unit of measure 4/Pack Price per unit $0.76/oz.
Delivery by Thu, Oct 30
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Compare similar items
| Attributes | TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC) | 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) | 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 $91.89 |  Price is $85.89 |  Price is $48.09 |  Price is $26.99 | |
| Reviews | |||||
| Delivery Information | Free delivery by Wed, Nov 05 | Free delivery by Wed, Nov 05 | Free delivery by Thu, Oct 30 | Free delivery by Wed, Nov 05 | Delivery by Wed, Nov 05 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 2500 | 2500 | 1000 | 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 | White / Red | White / Red | White / Red |
| Print Type | Laser | Laser | Laser | Laser | Laser |
| Number of Parts | 1 | 1 | 1 | 1 | 1 |
| Pack Qty | 250 | 2500 | 1000 | 500 | 250 |
| Series or Collection | UB-04 CMS-1450 | CMS-1500 | 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 $20.19
Delivery by Fri, Nov 07
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Over 30
Price is $166.39
Free delivery by Fri, Nov 07
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Over 30
Price is $17.39
Unit of measure 50/Pack
Delivery by Tue, Nov 04
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Price is $21.69
Delivery by Fri, Nov 07
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Over 30
Price is $17.09
Delivery by Fri, Nov 07
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Over 30
Price is $52.19
Unit of measure 50/Pack
Free delivery by Fri, Nov 07
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Over 30
Price is $21.95
Delivery by Fri, Nov 07
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Over 30
Price is $110.59
Free delivery by Fri, Nov 07
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Over 30
Price is $32.09
Unit of measure 100/Pack
Delivery by Tue, Nov 04
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Over 30
Price is $16.79
Unit of measure 100/Pack
Delivery by Tue, Nov 04
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Over 30
Price is $19.59
Delivery by Fri, Nov 07
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Over 30
Price is $45.79
Unit of measure 100/Pack
Free delivery by Tue, Nov 04
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Over 30
Price is $49.59
Unit of measure 250/Box
Free delivery by Tue, Nov 04
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Over 30
Price is $65.39
Unit of measure 500/Ream
Free delivery by Tue, Nov 04
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Over 30
Price is $24.49
Unit of measure 50/Pack
Delivery by Tue, Nov 04
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