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)

Product ID: B014068SZS Condition: New

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R 2,610
includes Duties & VAT
Delivery: 10-20 working days
Ships from USA warehouse.
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Product Description

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

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

Reduce billing errors with our UB-04 health insurance claim forms. Designed for hospitals to file a medical claim with the patient's insurance carrier, form UB-04 is printed with special OCR "dropout" red ink on 20# paper, as per government regulations.

Technical Specifications

Country
USA
Brand
ComplyRight
Manufacturer
ComplyRight
Binding
Office Product
ItemPartNumber
UB04LC
Color
White/Red
Size
Letter