Office Products > Forms, Recordkeeping & Money Handling > Human Resources Forms > Insurance Claim Forms
NextDayLabels Health Hospital, UB-04 (CMS 1450), 8.5 x 11", Pack of 250 | Health Hospital Insurance Claim Form, Medicaid, 20# Paper - Made in the USA
Product ID: B01NBURGJX
Condition: New
Selected Option: 250
$ 128
includes Duties & VAT
Delivery: 10-20 working days
Ships from USA warehouse.
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Product Description
NextDayLabels Health Hospital, UB-04 (CMS 1450), 8.5 x 11", Pack of 250 | Health Hospital Insurance Claim Form, Medicaid, 20# Paper - Made in the USA
- PROUDLY MADE IN USA — Manufactured in the United States by NextDayLabels, a trusted name in professional forms and labels since 1996. Dependable quality built to meet the demands of busy healthcare billing environments.
- STANDARD UB-04 / CMS 1450 FORM — The official uniform billing format required by hospitals, skilled nursing facilities, and institutional providers for submitting health insurance claims to Medicare, Medicaid, and major commercial insurers.
- LASER & INKJET COMPATIBLE — Designed for flawless performance on virtually any standard laser or inkjet printer. Sharp, accurate output helps minimize claim rejections and keeps your billing workflow running smoothly.
- PRECISE SPECIFICATIONS FOR COMPLIANCE — 1-Part, 24 lb. paper, 8½ x 11" letter size. Fully accommodates reporting of the National Provider Identifier (NPI) and all required billing data fields for complete regulatory compliance.
- 250-FORM VALUE PACK — IDEAL FOR HIGH-VOLUME BILLING — A generous supply of 250 forms per pack, perfect for larger medical offices, hospital billing departments, and healthcare facilities that process claims regularly and need a reliable, cost-efficient stock.
Technical Specifications
Country
USA
Brand
NextDayLabels
Manufacturer
Next Day Labels
PartNumber
UB04-250
Model
UB04-250
Color
Red
Size
250


