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NextDayLabels - UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11 500 Per Pack

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$26.77

$ 13 .99 $13.99

In Stock

1.Size:100


  • Box of 500 Sheets of UB-04 (CMS 1450) Health Insurance Claim Form
  • 1 Part 24# 8-1/2 x 11 (Letter Size) Laser / Ink-JetFormat
  • Accommodates reporting of the National Provider Identifier (NPI) number
  • 100% compliant with the approved update to the HCFA / CMS1450 health claim form
  • Made in the USA by Next Day Labels TM



Product Description


Lena Rossman
2025-09-06 14:45:46
Pkg was open probably not full pkg
Todd & Stacy
2025-09-02 17:37:52
The forms are good quality, easy-to-use. The shipping was fast, the product arrived undamaged.
Micaela Debatte
2025-08-28 11:15:46
Worked great with my printer, didn’t have to mess with aligning anything. Great!
Treble Smith
2025-07-12 11:15:37
Item as described and did not have to buy a mega box just for appeals.
Josie J
2025-07-02 10:15:03
Love these forms.
BRANDI
2025-04-18 16:39:17
I've had to do some realignments on each packets because the forms are not cut the same. Was not able to use and a waste of money.
eliana
2025-01-29 10:54:37
the forms are as described and i had no problems with them or with the company.
Inquisitively Indifferent
2024-11-23 17:00:37
Form itself looks and feels great. Took a few tries to get our printer to line up the characters inline with the form due to the margin issues. As far as I know, no claims have been returned. No major complaints from us!