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TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)
$93.89Market price
TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)~#|#~s1172744_sc7
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
1 Question
$93.89Market price
2500/Carton
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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
    Specifications table
    Attribute nameAttribute value
    Brand Name TFP
    Medical Form Pack Size 2500
    Medical Form Type Health Insurance Claims
    Number of Parts 1
    Pack Qty 250
    Print Type Laser
    Series or Collection
    		UB-04 CMS-1450
    True Color
    		White/Red