Office Products > 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
$ 332
includes Duties & VAT
Delivery: 10-20 working days
Ships from USA warehouse.
Secure Transaction
VISA
Mastercard
ozow
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
PartNumber
UB04LC
Color
White/Red
Height
1
Length
1
Weight
0.06
Width
1
Size
Letter






