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
Attribute name | Attribute value |
---|---|
Medical Form Pack Size | 1 |
Medical Form Type | Laser |
True Color
Items of a particular grouping, as merchandised and labeled by a manufacturer
|
UB-04 CMS-1450 |
Pack Qty | 250 |
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