Office Products > Office & School Supplies > Forms, Recordkeeping & Money Handling > Human Resources Forms > Insurance Claim Forms
TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
Product ID: B014068SZS
Condition: New
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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








