NextDayLabels - UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11" 500 Per Pack
NextDayLabels - UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11" 500 Per Pack - Image 1NextDayLabels - UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11" 500 Per Pack - Image 2NextDayLabels - UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11" 500 Per Pack - Image 3NextDayLabels - UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11" 500 Per Pack - Image 4NextDayLabels - UB-04 (CMS 1450) Health Hospital Insurance Claim Form, Laser 8-1/2 x 11" 500 Per Pack - Image 5

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

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Brand‎NextDayLabels
Rating4.7 (166 ratings)
Price$26.77
CategoryRecordkeeping & Labels

Features

  • 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