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TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
$110.99
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Earn 110 points
Description
Specifications
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  1. Home
  3. Paper
  5. Forms & Recordkeeping
  7. Forms & Recordkeeping
  9. HR Forms
  11. HR & Medical Forms

TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)

Order TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC) today at Quill.com and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 901-519727
Model #: UB04LC
Brand: TFP
(3 reviews)
Item #: 901-519727
TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
$110.99
Per carton
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TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
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Description
Specifications
Reviews
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
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

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