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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

$ 25 .99 $25.99

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
2025-06-02 16:46:16
Got them for someone else
Valerie Mccormick
2024-12-26 18:37:42
Great Price for these forms
Bonnie Logan
2024-12-12 15:34:06
The quality of paper and ink was less then expected, but they work fine enough. Shipping was fast.