TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)
$89.29
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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
2500/carton
Free Returns
Online. In store. Always free.
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Price is $28.59
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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 $21.19
Unit of measure 100/Box Price per unit $0.21/File Folder
Delivery by Fri, May 16
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Price is $9.99, Regular price was $12.69, You save 21%
Unit of measure Dozen Price per unit $0.83/Marker
Delivery by Fri, May 16
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Price is $15.69
Unit of measure Dozen Price per unit $0.01/Post-it® Note
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13% off of Staples Notepads, 8.5" x 11.75", Wide Ruled, White, 50 Sheets/Pad, Dozen (ST57339M/57339)
Price is $16.99, Regular price was $19.59, You save 13%
Unit of measure Dozen Price per unit $1.42/Pad
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Over 30
Price is $19.49
Unit of measure 10/Pack Price per unit $1.95/Correction Tape
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Price is $8.69
Unit of measure 60/Pack Price per unit $0.14/Pen
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Over 30
Price is $10.79
Unit of measure 1000/Pack Price per unit $0.01/Paper Clip
Delivery by Fri, May 16
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Price is $8.19
Unit of measure 4/Pack Price per unit $2.05/Correction Tape
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11% off of Staples 30% Recycled File Folders, 1/3-Cut Tab, Letter Size, Manila, 250/Box (ST56673-CC)
Price is $27.99, Regular price was $31.69, You save 11%
Unit of measure 250/Box Price per unit $0.11/File Folder
Delivery by Fri, May 16
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16% off of Staples Notepads, 5" x 8", Narrow Ruled, White, 50 Sheets/Pad, Dozen (ST57338)
Price is $9.99, Regular price was $11.99, You save 16%
Unit of measure 12/Pack Price per unit $0.83/Pad
Delivery by Fri, May 16
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Price is $20.49
Unit of measure 10/Pack Price per unit $2.05/Roll
Delivery by Fri, May 16
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Price is $11.19
Unit of measure 144/Pack Price per unit $0.08/Binder Clip
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Price is $8.69
Unit of measure 12/Pack Price per unit $0.72/Binder Clip
Delivery by Fri, May 16
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Delivery by Fri, May 16
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Price is $7.59
Unit of measure 24/Pack Price per unit $0.32/Binder Clip
Delivery by Fri, May 16
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11% off of Sharpie Permanent Marker, Fine Tip, Black, 36/Pack (1884739)
Price is $25.99, Regular price was $29.49, You save 11%
Unit of measure 36/Pack Price per unit $0.72/Marker
Delivery by Fri, May 16
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Price is $17.89
Unit of measure 1000/Pack Price per unit $0.02/Paper Clip
Delivery by Fri, May 16
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Price is $18.29
Unit of measure 12/Pack Price per unit $1.52/Roll
Delivery by Fri, May 16
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Delivery by Fri, May 16
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Over 30
Price is $30.79
Unit of measure 10/Pack Price per unit $3.08/Box
Delivery by Fri, May 16
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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 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 $89.29 |  Price is $89.59 |  Price is $83.79 |  Price is $26.29 |  Price is $46.89 | |
| Reviews | |||||
| Delivery Information | Free delivery by Fri, May 23 | Free delivery by Fri, May 23 | Free delivery by Fri, May 16 | Delivery by Fri, May 23 | Free delivery by Fri, May 23 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 2500 | 2500 | 1000 | 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 | 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 | 250 | 500 |
| 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 $21.95
Delivery by Tue, May 27
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Price is $17.39
Unit of measure 50/Pack
Delivery by Wed, May 21
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Price is $20.19
Delivery by Tue, May 27
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Price is $20.79
Unit of measure 50/Pack
Delivery by Wed, May 21
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Price is $32.09
Unit of measure 100/Pack
Delivery by Wed, May 21
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Price is $20.79
Unit of measure 50/Pack
Delivery by Wed, May 21
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Price is $25.89
Unit of measure 50/Pack
Delivery by Wed, May 21
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Price is $38.89
Unit of measure 50/Pack
Free delivery by Wed, May 21
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Price is $120.19
Free delivery by Tue, May 27
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Price is $45.79
Unit of measure 25/Pack
Free delivery by Wed, May 21
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Price is $37.99
Unit of measure 100/Pack
Free delivery by Wed, May 21
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Price is $45.79
Unit of measure 50/Pack
Free delivery by Wed, May 21
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Price is $63.59
Unit of measure 25/Pack
Free delivery by Wed, May 21
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Price is $32.09
Unit of measure 50/Pack
Delivery by Wed, May 21
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Price is $21.19
Unit of measure 50/Pack
Delivery by Wed, May 21
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