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

Free shipping on orders over $29.99

$61.52

$ 27 .99 $27.99

In Stock
  • Sold as 2500/Carton.
  • State: IL - Illinois.
  • Type: Poster.
  • Sold individually.
  • Printed with OCR dropout red ink on white paper.


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.


Terry Engler
Reviewed in the United States on December 19, 2021
Got them for someone else
Valerie Mccormick
Reviewed in the United States on May 15, 2018
Great Price for these forms
Bonnie Logan
Reviewed in the United States on September 16, 2014
The quality of paper and ink was less then expected, but they work fine enough. Shipping was fast.