Shopping Cart

Your cart is empty.

Your cart is empty.

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

4.8 (1) Write Review
Free shipping on orders over $29.99

$59.46

$ 30 .99 $30.99

In Stock

About this item

  • 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.


Tammie Paterson
2025-06-24 17:26:35
Product arrived in the time posted and was as expected. Great service/product!