TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)
$89.29
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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
$89.29
2500/carton
Free Returns
Online. In store. Always free.
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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 $53.99
Free Next-Day eligible by Mon, Aug 11
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Over 30
Price is $31.89
Unit of measure Dozen Price per unit $2.66/Pen
Next-Day Delivery by Mon, Aug 11
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Over 30
Price is $45.19
Unit of measure 100/Box
Free Next-Day eligible by Mon, Aug 11
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Over 30
Price is $35.19
Free Next-Day eligible by Mon, Aug 11
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Over 30
Price is $24.79
Unit of measure 100/Pack
Next-Day Delivery by Mon, Aug 11
30-min pickup
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Price is $32.19
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Over 30
Price is $21.99, Regular price was $29.69, You save 25%
Unit of measure Dozen Price per unit $1.83/Pen
Next-Day Delivery by Mon, Aug 11
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Over 30
Price is $64.99
Free Next-Day eligible by Mon, Aug 11
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Olay Ultra Moisture Body Wash, Shea Butter, 33 fl oz. (97494) is New at Staples
Price is $15.99
Next-Day Delivery by Mon, Aug 11
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Over 30
Price is $59.99, Regular price was $129.99, You save 53%
Free Next-Day eligible by Mon, Aug 11
30-min pickup
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Over 30
Price is $49.99, Regular price was $84.99, You save 41%
Free Next-Day eligible by Mon, Aug 11
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Over 30
Price is $249.99, Regular price was $269.99, You save 7%
Free delivery by Wed, Aug 13
30-min pickup
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Olay Ultra Moisture Body Wash with Shea Butter, 3 Fl. Oz. (83046) is In-store only
Price is $1.99
See alternate delivery items
30-min pickup
Price is $279.99, Regular price was $529.99, You save 47%
Free Next-Day eligible by Mon, Aug 11
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Over 30
Price is $499.99, Regular price was $879.99, You save 43%
Free Next-Day eligible by Mon, Aug 11
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Over 30
Price is $159.99, Regular price was $319.99, You save 50%
Free Next-Day eligible by Mon, Aug 11
30-min pickup
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Over 30
Price is $299.99
Free Next-Day eligible by Mon, Aug 11
30-min pickup
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Over 30
Price is $0.50, Regular price was $2.49, You save 79%
Unit of measure 24/Box
Next-Day Delivery by Mon, Aug 11
30-min pickup
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Price is $0.50, Regular price was $4.09, You save 87%
Next-Day Delivery by Mon, Aug 11
30-min pickup
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Price is $6.99, Regular price was $9.44, You save 25%
Unit of measure 500/Ream
Next-Day Delivery by Mon, Aug 11
30-min pickup
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Compare similar items
| Attributes | TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC) | Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) | ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5) | 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) |
|---|---|---|---|---|---|
Your product TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC) Price is $89.29 |  Price is $24.79 |  Price is $28.59 |  Price is $83.79 |  Price is $26.29 | |
| Reviews | |||||
| Delivery Information | Free delivery by Mon, Aug 18 | Next-Day Delivery by Mon, Aug 11 | Delivery by Wed, Aug 20 | Free Next-Day eligible by Mon, Aug 11 | Delivery by Mon, Aug 18 |
| Available in my store | No | Yes | No | No | No |
| Medical Form Pack Size | 2500 | 100 | 500 | 1000 | 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 | Data not available | Laser | Laser | Laser |
| Number of Parts | 1 | 1 | Data not available | 1 | 1 |
| Pack Qty | 250 | 100 | Data not available | 1000 | 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 $21.19
Unit of measure 50/Pack
Delivery by Thu, Aug 14
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Price is $26.49
Unit of measure 50/Pack
Delivery by Thu, Aug 14
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Over 30
Price is $15.09
Unit of measure 50/Pack
Delivery by Thu, Aug 14
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Over 30
Price is $63.59
Unit of measure 25/Pack
Free delivery by Thu, Aug 14
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Over 30
Price is $17.95
Delivery by Tue, Aug 19
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Over 30
Price is $32.09
Unit of measure 50/Pack
Delivery by Thu, Aug 14
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Over 30
Price is $57.29
Free delivery by Tue, Aug 19
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Over 30
Price is $45.49
Unit of measure 50/Pack
Free delivery by Thu, Aug 14
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Over 30
Price is $49.59
Unit of measure 250/Box
Free delivery by Thu, Aug 14
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Over 30
Price is $37.99
Unit of measure 100/Pack
Free delivery by Thu, Aug 14
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Over 30
Price is $33.29
Delivery by Tue, Aug 19
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Over 30
Price is $20.19
Delivery by Tue, Aug 19
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Over 30
Price is $32.09
Unit of measure 100/Pack
Delivery by Thu, Aug 14
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Over 30
Price is $21.69
Delivery by Tue, Aug 19
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Over 30
Price is $79.69
Unit of measure 500/Box
Free delivery by Thu, Aug 14
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