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TFP UB-04 Health Insurance Claims

TFP UB-04 Health Insurance Claims

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  • TFP UB-04 CMS-1450 1-Part Health Insurance Claims UB04LC
    50.81
    Walmart

    TFP UB-04 CMS-1450 1-Part Health Insurance Claims UB04LC

    Free delivery

  • TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
    57.49
    Walmart

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

    Delivery date & cost shown at checkout

  • TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
    57.99
    Walmart

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

    Delivery date & cost shown at checkout

  • TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
    58.64
    Walmart

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

    Delivery date & cost shown at checkout

  • TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
    60.49
    Walmart

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

    Delivery date & cost shown at checkout

  • UB04 Laser Forms-2500 Pack
    60.98
    Walmart

    UB04 Laser Forms-2500 Pack

    Delivery date & cost shown at checkout

  • TFP UB-04 Health Insurance Claims
    61.14
    Walmart

    TFP UB-04 Health Insurance Claims

    Free delivery

  • TFP UB-04 CMS-1450 1-Part Health Insurance Claims UB04LC
    68.14
    Walmart

    TFP UB-04 CMS-1450 1-Part Health Insurance Claims UB04LC

    Free delivery

  • TFP UB-04 CMS-1450 1-Part Health Insurance Claims UB04LC
    77.46
    Walmart

    TFP UB-04 CMS-1450 1-Part Health Insurance Claims UB04LC

    Free delivery

  • TFP UB-04 CMS-1450 1-Part Health Insurance Claims Ub04lc
    87.69
    Walmart

    TFP UB-04 CMS-1450 1-Part Health Insurance Claims Ub04lc

    Free delivery

  • TFP UB-04 CMS-1450 1-Part Health Insurance Claims Ub04lc
    87.69
    Walmart

    TFP UB-04 CMS-1450 1-Part Health Insurance Claims Ub04lc

    Free delivery

  • TFP UB-04 CMS-1450 1-Part Health Insurance Claims Ub04lc
    87.69
    Walmart

    TFP UB-04 CMS-1450 1-Part Health Insurance Claims Ub04lc

    Free delivery

  • UB04 Laser Forms-2500 Pack
    87.69
    Walmart

    UB04 Laser Forms-2500 Pack

    Delivery date & cost shown at checkout

  • TFP UB-04 CMS-1450 1-Part Health Insurance Claims Ub04lc
    87.78
    Walmart

    TFP UB-04 CMS-1450 1-Part Health Insurance Claims Ub04lc

    Free 90-day returns

  • TFP UB-04 CMS-1450 1-Part Health Insurance Claims, 2500/Carton (UB04LC)
    88.60
    Walmart

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

    Delivery date & cost shown at checkout

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Product Details

HEALTH INSURANCE CLAIM FORM: Reduce Billing Errors with UB-04 Health Insurance Claim Forms for use by hospitals and institutions COMPLIANT: 100% compliant with HIPAA regulations CLAIM FORM: Designed for hospitals to file a medical claim with the patient’s insurance carrier, Form UB-04 is printed with OCR “dropout” red ink on 20# paper. All parts printed on white carbonless stock PACKAGING/DIMENSIONS: Laset Cut Sheet. 8-1/2" x 11". Pack of 500. COMPLYRIGHT: At ComplyRight, our mission is to free employers from the burden of tracking and complying with the complex web of federal, state, and local employment laws. ComplyRight is the market leader in government compliant products such as tax forms, tax software, HR products and services, labor law solutions, and health insurance claim forms.

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