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TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)
TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)~#|#~s1172744_sc7
Highlights
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  • Designed for hospitals to file a medical claim with the patient's insurance carrier
  • One-part health insurance forms
  • Contains 2500 forms per carton

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

Item #: 519727Model #: UB04LC
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About this product

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 table
Attribute nameAttribute value
Brand Name 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