HCFA IF040 Model 1450 UB04 Claim Form White/Red

Brand: HCFA

Model: IF040

Color: White/Red

Features

• Printed in "Drop-put" red ink
• Package Dimensions : 11.0 L x 2.0 H x 6.0 W (inches)
• Package Weight : 32.0 pounds
• Package dimensions:11.0" (L) x 6.0" (W) x 2.0" (H)

Details

The HCFA IF040 Model 1450 UB04 Claim Form is designed for insurance claim documentation and features a white and red format. Printed in “Drop-put” red ink, these laser-cut forms support organized, legible recordkeeping for office workflows.

UPC: 687225254625