TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
$121.99
Per carton
($0.05/EACH)
TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
Item #:
901-519727
Model #:
UB04LC
Brand:
TFP
(5 reviews)
Item #:
901-519727
$121.99
Per carton
$0.05/EACH
1 CARTON = 2500 EACH
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TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
Frequently bought together
+
Item #: 901-127172
$4.79
Per each
$4.79
+
Total
$141.77
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Description
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
Brand
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
